| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.97 | $58.33 | $76.26 | |
CareSource
| Facility | $77.43 | $104.51 | $117.57 | |
CareSource
| Professional | $80.47 | $95.80 | $201.92 | |
Cigna
| Facility | $87.14 | $87.14 | $87.14 | |
Cigna
| Professional | $32.19 | $32.19 | $32.19 | |
United
| Professional | $33.46 | $43.45 | $72.75 |