| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.17 | $78.19 | $105.14 | |
CareSource
| Facility | $114.92 | $144.08 | $162.09 | |
CareSource
| Professional | $120.07 | $132.08 | $278.38 | |
Cigna
| Facility | $124.79 | $124.79 | $124.79 | |
Cigna
| Professional | $45.83 | $45.83 | $45.83 | |
United
| Professional | $47.63 | $59.90 | $192.11 |