| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $100.00 | $107.15 | |
CareSource
| Facility | $177.83 | $177.83 | $177.83 | |
CareSource
| Professional | $154.88 | $154.88 | $154.88 | |
Cigna
| Professional | $51.29 | $51.29 | $588.84 | |
United
| Professional | $50.12 | $60.26 | $75.86 |