| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.80 | $57.83 | $81.92 | |
CareSource
| Facility | $84.90 | $112.27 | $126.31 | |
CareSource
| Professional | $88.63 | $102.92 | $216.92 | |
Cigna
| Facility | $89.90 | $89.90 | $89.90 | |
Cigna
| Professional | $33.68 | $33.68 | $33.68 | |
United
| Professional | $35.01 | $46.68 | $78.15 |