| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.42 | $85.28 | $109.63 | |
CareSource
| Facility | $110.65 | $150.24 | $169.02 | |
CareSource
| Professional | $120.78 | $137.72 | $290.27 | |
Cigna
| Facility | $123.64 | $123.64 | $123.64 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
United
| Professional | $48.01 | $62.46 | $104.55 |