| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.71 | $104.77 | $123.61 | |
CareSource
| Facility | $155.28 | $169.39 | $211.74 | |
CareSource
| Professional | $141.16 | $176.45 | $327.29 | |
Cigna
| Facility | $220.56 | $220.56 | $220.56 | |
Cigna
| Professional | $67.76 | $67.76 | $67.76 | |
United
| Professional | $66.02 | $70.42 | $117.90 |