| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.02 | $47.35 | $63.77 | |
CareSource
| Facility | $73.37 | $87.40 | $98.32 | |
CareSource
| Professional | $67.42 | $80.11 | $168.87 | |
Cigna
| Facility | $70.70 | $70.70 | $70.70 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
United
| Professional | $28.77 | $36.34 | $63.80 |