| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.50 | $78.63 | $92.26 | |
CareSource
| Facility | $115.51 | $120.33 | $158.91 | |
CareSource
| Professional | $96.26 | $106.54 | $223.19 | |
Cigna
| Facility | $115.44 | $115.44 | $115.44 | |
Cigna
| Professional | $42.61 | $42.61 | $42.61 | |
United
| Professional | $44.29 | $48.02 | $80.41 |