| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.08 | $108.35 | $132.00 | |
CareSource
| Facility | $73.29 | $119.00 | $178.50 | |
CareSource
| Professional | $73.29 | $78.93 | $275.89 | |
Cigna
| Facility | $144.97 | $144.97 | $144.97 | |
Cigna
| Professional | $590.88 | $590.88 | $590.88 | |
United
| Professional | $88.29 | $130.16 | $194.83 |