| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.20 | $117.49 | $151.36 | |
CareSource
| Facility | $251.19 | $251.19 | $251.19 | |
CareSource
| Professional | $223.87 | $223.87 | $223.87 | |
Cigna
| Professional | $67.61 | $67.61 | $776.25 | |
United
| Professional | $58.88 | $70.79 | $93.33 |