| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.41 | $87.89 | $101.05 | |
CareSource
| Facility | $11.69 | $89.15 | $118.89 | |
CareSource
| Professional | $10.23 | $94.98 | $128.03 | |
Cigna
| Facility | $100.30 | $100.30 | $184.18 | |
Cigna
| Professional | $100.30 | $100.30 | $120.98 | |
United
| Professional | $74.55 | $87.68 | $151.88 |