| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $75.86 | $100.00 | |
CareSource
| Facility | $134.90 | $134.90 | $134.90 | |
CareSource
| Professional | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $43.65 | $43.65 | $489.78 | |
United
| Professional | $44.67 | $56.23 | $74.13 |