| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.75 | $58.88 | $69.47 | |
CareSource
| Facility | $87.27 | $95.21 | $119.01 | |
CareSource
| Professional | $78.98 | $87.27 | $183.95 | |
Cigna
| Facility | $78.06 | $78.06 | $78.06 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
United
| Professional | $31.25 | $39.58 | $66.26 |