| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.50 | $101.04 | $141.94 | |
CareSource
| Facility | $92.67 | $134.80 | $202.19 | |
CareSource
| Professional | $66.91 | $123.56 | $130.55 | |
Cigna
| Facility | $132.90 | $132.90 | $132.90 | |
Cigna
| Professional | $108.51 | $141.06 | $257.37 | |
United
| Professional | $87.79 | $130.94 | $179.27 |