| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.28 | $80.67 | $99.59 | |
CareSource
| Facility | $121.92 | $136.47 | $159.03 | |
CareSource
| Professional | $113.73 | $138.94 | $263.69 | |
Cigna
| Facility | $138.08 | $138.08 | $138.08 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
United
| Professional | $52.89 | $56.74 | $181.97 |