| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.42 | $55.36 | $75.77 | |
CareSource
| Facility | $76.58 | $103.84 | $116.82 | |
CareSource
| Professional | $80.78 | $95.18 | $200.62 | |
Cigna
| Facility | $83.58 | $83.58 | $83.58 | |
Cigna
| Professional | $31.15 | $31.15 | $31.15 | |
United
| Professional | $32.38 | $43.17 | $138.44 |