| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.73 | $46.59 | $59.12 | |
CareSource
| Facility | $65.33 | $81.01 | $91.14 | |
CareSource
| Professional | $67.51 | $74.26 | $156.53 | |
Cigna
| Facility | $69.19 | $69.19 | $69.19 | |
Cigna
| Professional | $24.93 | $24.93 | $24.93 | |
United
| Professional | $25.91 | $33.68 | $56.39 |