| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $86.48 | $109.91 | |
CareSource
| Facility | $120.27 | $150.62 | $169.45 | |
CareSource
| Professional | $125.52 | $149.47 | $291.02 | |
Cigna
| Facility | $145.97 | $145.97 | $145.97 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
United
| Professional | $51.89 | $62.62 | $136.62 |