| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.52 | $67.78 | $77.69 | |
CareSource
| Facility | $9.02 | $68.06 | $90.76 | |
CareSource
| Professional | $7.89 | $73.23 | $97.74 | |
Cigna
| Facility | $74.67 | $74.67 | $131.69 | |
Cigna
| Professional | $74.67 | $74.67 | $92.75 | |
United
| Professional | $49.05 | $65.05 | $104.92 |