| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.36 | $55.02 | $77.80 | |
CareSource
| Facility | $84.24 | $106.62 | $119.95 | |
CareSource
| Professional | $88.85 | $97.74 | $206.01 | |
Cigna
| Facility | $88.71 | $88.71 | $88.71 | |
Cigna
| Professional | $32.92 | $32.92 | $32.92 | |
United
| Professional | $34.78 | $44.32 | $74.20 |