| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.67 | $57.54 | $75.86 | |
CareSource
| Facility | $91.20 | $91.20 | $91.20 | |
CareSource
| Professional | $81.28 | $81.28 | $81.28 | |
Cigna
| Professional | $32.36 | $32.36 | $363.08 | |
United
| Professional | $31.62 | $43.65 | $54.95 |