| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.36 | $82.28 | $103.25 | |
CareSource
| Facility | $107.47 | $141.49 | $159.18 | |
CareSource
| Professional | $117.91 | $129.69 | $273.38 | |
Cigna
| Facility | $126.49 | $126.49 | $126.49 | |
Cigna
| Professional | $44.86 | $44.86 | $44.86 | |
United
| Professional | $46.62 | $58.82 | $98.50 |