| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.61 | $78.89 | $93.59 | |
CareSource
| Facility | $10.26 | $76.51 | $111.65 | |
CareSource
| Professional | $9.77 | $82.40 | $109.88 | |
Cigna
| Facility | $57.76 | $57.76 | $162.59 | |
Cigna
| Professional | $57.76 | $57.76 | $103.09 | |
United
| Professional | $55.15 | $75.12 | $112.34 |