| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.67 | $82.82 | $117.34 | |
CareSource
| Facility | $117.25 | $160.80 | $180.90 | |
CareSource
| Professional | $131.58 | $147.40 | $310.69 | |
Cigna
| Facility | $128.50 | $128.50 | $128.50 | |
Cigna
| Professional | $48.24 | $48.24 | $48.24 | |
United
| Professional | $45.97 | $66.84 | $111.93 |