| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $67.61 | $81.28 | |
CareSource
| Facility | $125.89 | $125.89 | $125.89 | |
CareSource
| Professional | $109.65 | $109.65 | $109.65 | |
Cigna
| Professional | $36.31 | $36.31 | $407.38 | |
United
| Professional | $37.15 | $45.71 | $58.88 |