| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.15 | $99.16 | $109.92 | |
CareSource
| Facility | $11.80 | $88.50 | $131.88 | |
CareSource
| Professional | $11.54 | $95.31 | $127.06 | |
Cigna
| Facility | $111.50 | $111.50 | $192.19 | |
Cigna
| Professional | $111.50 | $111.50 | $129.57 | |
United
| Professional | $74.00 | $98.92 | $150.74 |