| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.25 | $119.87 | $136.79 | |
CareSource
| Facility | $15.81 | $118.60 | $159.41 | |
CareSource
| Professional | $13.95 | $127.72 | $170.32 | |
Cigna
| Facility | $130.68 | $130.68 | $232.18 | |
Cigna
| Professional | $130.68 | $143.84 | $171.51 | |
United
| Professional | $87.44 | $119.24 | $187.04 |