| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.26 | $55.08 | $65.89 | |
CareSource
| Facility | $50.51 | $67.23 | $110.20 | |
CareSource
| Professional | $71.15 | $71.15 | $71.15 | |
Cigna
| Facility | $72.36 | $72.36 | $72.36 | |
Cigna
| Professional | $59.33 | $78.40 | $142.02 | |
United
| Professional | $49.14 | $73.22 | $112.04 |