| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.91 | $94.48 | $99.88 | |
CareSource
| Facility | $136.87 | $142.58 | $190.95 | |
CareSource
| Professional | $114.06 | $142.40 | $264.45 | |
Cigna
| Facility | $139.07 | $139.07 | $139.07 | |
Cigna
| Professional | $48.97 | $48.97 | $48.97 | |
United
| Professional | $53.35 | $56.90 | $95.26 |