| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.78 | $85.81 | $105.94 | |
CareSource
| Facility | $132.94 | $145.19 | $173.42 | |
CareSource
| Professional | $120.99 | $138.05 | $280.52 | |
Cigna
| Facility | $140.02 | $140.02 | $140.02 | |
Cigna
| Professional | $51.62 | $51.62 | $51.62 | |
United
| Professional | $53.66 | $60.36 | $115.61 |