| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.91 | $71.31 | $96.20 | |
CareSource
| Facility | $106.70 | $131.83 | $148.31 | |
CareSource
| Professional | $109.86 | $120.85 | $254.71 | |
Cigna
| Facility | $118.39 | $118.39 | $118.39 | |
Cigna
| Professional | $43.93 | $43.93 | $43.93 | |
United
| Professional | $45.66 | $54.81 | $91.75 |