| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.42 | $61.05 | $83.46 | |
CareSource
| Facility | $82.78 | $114.37 | $128.66 | |
CareSource
| Professional | $91.18 | $104.84 | $220.99 | |
Cigna
| Facility | $92.98 | $92.98 | $92.98 | |
Cigna
| Professional | $34.54 | $34.54 | $34.54 | |
United
| Professional | $35.90 | $47.55 | $79.58 |