| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.05 | $64.31 | $88.02 | |
CareSource
| Facility | $99.66 | $120.62 | $135.69 | |
CareSource
| Professional | $100.52 | $110.57 | $233.06 | |
Cigna
| Facility | $105.38 | $105.38 | $105.38 | |
Cigna
| Professional | $36.19 | $36.19 | $36.19 | |
United
| Professional | $40.50 | $50.15 | $83.95 |