| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.03 | $59.01 | $68.87 | |
CareSource
| Facility | $7.85 | $62.92 | $83.87 | |
CareSource
| Professional | $6.87 | $63.77 | $90.32 | |
Cigna
| Facility | $65.95 | $65.95 | $129.94 | |
Cigna
| Professional | $65.95 | $65.95 | $87.12 | |
United
| Professional | $52.07 | $58.87 | $107.16 |