| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.05 | $85.33 | $114.91 | |
CareSource
| Facility | $113.18 | $157.47 | $177.16 | |
CareSource
| Professional | $121.81 | $144.35 | $304.25 | |
Cigna
| Facility | $124.14 | $124.14 | $124.14 | |
Cigna
| Professional | $47.24 | $47.24 | $47.24 | |
United
| Professional | $48.20 | $65.47 | $109.61 |