| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.08 | $67.11 | $89.17 | |
CareSource
| Facility | $96.20 | $122.21 | $137.47 | |
CareSource
| Professional | $101.84 | $112.02 | $236.12 | |
Cigna
| Facility | $104.18 | $104.18 | $104.18 | |
Cigna
| Professional | $38.71 | $38.71 | $38.71 | |
United
| Professional | $40.31 | $50.80 | $85.04 |