| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.05 | $65.11 | $77.98 | |
CareSource
| Facility | $96.50 | $106.88 | $131.60 | |
CareSource
| Professional | $80.20 | $97.98 | $206.50 | |
Cigna
| Facility | $88.00 | $88.00 | $88.00 | |
Cigna
| Professional | $32.08 | $32.08 | $32.08 | |
United
| Professional | $33.34 | $44.44 | $74.39 |