| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $109.65 | $123.03 | |
CareSource
| Facility | $190.55 | $190.55 | $190.55 | |
CareSource
| Professional | $169.82 | $169.82 | $169.82 | |
Cigna
| Professional | $61.66 | $61.66 | $707.95 | |
United
| Professional | $61.66 | $69.18 | $89.13 |