| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.88 | $78.20 | $97.60 | |
CareSource
| Facility | $121.16 | $133.75 | $158.04 | |
CareSource
| Professional | $111.20 | $122.61 | $258.44 | |
Cigna
| Facility | $119.60 | $119.60 | $119.60 | |
Cigna
| Professional | $44.32 | $44.32 | $44.32 | |
United
| Professional | $46.07 | $55.60 | $93.06 |