| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.04 | $48.49 | $58.85 | |
CareSource
| Facility | $48.49 | $53.34 | $72.73 | |
CareSource
| Professional | $112.43 | $112.43 | $112.43 | |
Cigna
| Facility | $65.18 | $65.18 | $65.18 | |
Cigna
| Professional | $251.03 | $251.03 | $251.03 | |
United
| Professional | $35.39 | $53.71 | $107.90 |