| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $91.20 | $123.03 | |
CareSource
| Facility | $10.96 | $16.22 | $123.03 | |
CareSource
| Professional | $11.75 | $17.38 | $131.83 | |
Cigna
| Facility | $37.15 | $125.89 | $251.19 | |
Cigna
| Professional | $13.18 | $109.65 | $154.88 | |
United
| Facility | $9.77 | $74.13 | $117.49 | |
United
| Professional | $63.10 | $109.65 | $218.78 |