| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.22 | $78.01 | $95.25 | |
CareSource
| Facility | $115.62 | $130.52 | $157.66 | |
CareSource
| Professional | $97.99 | $119.65 | $252.19 | |
Cigna
| Facility | $107.69 | $107.69 | $107.69 | |
Cigna
| Professional | $39.15 | $39.15 | $39.15 | |
United
| Professional | $45.48 | $54.26 | $90.85 |