| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.11 | $68.80 | $78.08 | |
CareSource
| Facility | $98.09 | $107.00 | $139.05 | |
CareSource
| Professional | $84.32 | $98.09 | $206.75 | |
Cigna
| Facility | $90.57 | $90.57 | $90.57 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
United
| Professional | $35.04 | $44.48 | $74.48 |