| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.95 | $66.28 | $92.14 | |
CareSource
| Facility | $95.99 | $126.28 | $142.06 | |
CareSource
| Professional | $94.70 | $115.75 | $243.98 | |
Cigna
| Facility | $100.21 | $100.21 | $100.21 | |
Cigna
| Professional | $37.88 | $37.88 | $37.88 | |
United
| Professional | $39.36 | $52.50 | $87.89 |