| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.39 | $47.39 | $63.45 | |
CareSource
| Facility | $9.09 | $68.18 | $118.70 | |
CareSource
| Professional | $9.09 | $68.18 | $118.70 | |
Cigna
| Facility | $64.23 | $64.23 | $79.36 | |
Cigna
| Professional | $54.60 | $64.23 | $71.44 | |
United
| Professional | $31.17 | $50.65 | $76.50 |