| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.64 | $54.83 | $69.66 | |
CareSource
| Facility | $72.27 | $95.46 | $107.39 | |
CareSource
| Professional | $73.84 | $87.51 | $184.44 | |
Cigna
| Facility | $79.30 | $79.30 | $79.30 | |
Cigna
| Professional | $29.54 | $29.54 | $29.54 | |
United
| Professional | $30.70 | $39.69 | $66.44 |