| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.00 | $60.00 | $60.00 | |
CareSource
| Facility | $78.98 | $119.00 | $125.00 | |
CareSource
| Professional | $85.05 | $85.05 | $85.05 | |
Cigna
| Facility | $90.00 | $125.00 | $150.00 | |
Cigna
| Professional | $86.00 | $90.00 | $130.00 |