| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.14 | $74.81 | $84.84 | |
CareSource
| Facility | $8.36 | $62.65 | $102.81 | |
CareSource
| Professional | $8.36 | $67.47 | $89.96 | |
Cigna
| Facility | $78.94 | $78.94 | $150.61 | |
Cigna
| Professional | $78.94 | $97.75 | $617.63 | |
United
| Professional | $45.15 | $66.86 | $96.58 |