| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.22 | $65.84 | $81.26 | |
CareSource
| Facility | $102.03 | $111.37 | $133.08 | |
CareSource
| Professional | $92.81 | $110.76 | $215.20 | |
Cigna
| Facility | $108.17 | $108.17 | $108.17 | |
Cigna
| Professional | $36.14 | $36.14 | $36.14 | |
United
| Professional | $38.81 | $46.30 | $77.51 |