| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $120.23 | $151.36 | |
CareSource
| Facility | $257.04 | $257.04 | $257.04 | |
CareSource
| Professional | $229.09 | $229.09 | $229.09 | |
Cigna
| Professional | $69.18 | $69.18 | $794.33 | |
United
| Professional | $60.26 | $70.79 | $95.50 |