| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.12 | $77.04 | $87.31 | |
CareSource
| Facility | $9.93 | $74.39 | $102.47 | |
CareSource
| Professional | $8.97 | $80.11 | $106.86 | |
Cigna
| Facility | $45.00 | $45.00 | $151.13 | |
Cigna
| Professional | $45.00 | $45.00 | $100.67 | |
United
| Professional | $53.63 | $73.06 | $114.71 |