| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.84 | $63.84 | $76.06 | |
CareSource
| Facility | $58.29 | $77.59 | $127.17 | |
CareSource
| Professional | $82.10 | $82.10 | $82.10 | |
Cigna
| Facility | $83.52 | $83.52 | $83.52 | |
Cigna
| Professional | $68.48 | $90.02 | $163.19 | |
United
| Professional | $56.17 | $84.72 | $125.31 |