| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.61 | $57.64 | $70.28 | |
CareSource
| Facility | $88.29 | $96.31 | $116.49 | |
CareSource
| Professional | $80.26 | $88.29 | $186.09 | |
Cigna
| Facility | $80.20 | $80.20 | $80.20 | |
Cigna
| Professional | $29.38 | $29.38 | $29.38 | |
United
| Professional | $30.54 | $40.04 | $87.38 |