| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.39 | $85.81 | $113.89 | |
CareSource
| Facility | $126.99 | $156.08 | $175.59 | |
CareSource
| Professional | $117.06 | $143.08 | $301.57 | |
Cigna
| Facility | $133.83 | $133.83 | $133.83 | |
Cigna
| Professional | $46.82 | $46.82 | $46.82 | |
United
| Professional | $50.42 | $64.89 | $108.64 |