| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.40 | $63.00 | $89.26 | |
CareSource
| Facility | $97.18 | $122.33 | $137.62 | |
CareSource
| Professional | $100.28 | $112.13 | $236.35 | |
Cigna
| Facility | $99.35 | $99.35 | $99.35 | |
Cigna
| Professional | $37.20 | $37.20 | $37.20 | |
United
| Professional | $40.11 | $50.86 | $85.13 |