| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.62 | $100.04 | $141.74 | |
CareSource
| Facility | $149.19 | $194.26 | $218.54 | |
CareSource
| Professional | $145.69 | $178.07 | $375.31 | |
Cigna
| Facility | $156.16 | $156.16 | $156.16 | |
Cigna
| Professional | $58.28 | $58.28 | $58.28 | |
United
| Professional | $61.24 | $80.75 | $135.19 |