| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.42 | $93.66 | $109.89 | |
CareSource
| Facility | $138.82 | $150.60 | $189.30 | |
CareSource
| Professional | $125.50 | $156.88 | $290.99 | |
Cigna
| Facility | $184.01 | $184.01 | $184.01 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
United
| Professional | $58.70 | $62.61 | $104.81 |