| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.29 | $116.31 | $154.83 | |
CareSource
| Facility | $180.22 | $212.18 | $238.71 | |
CareSource
| Professional | $176.82 | $194.50 | $409.97 | |
Cigna
| Facility | $203.29 | $203.29 | $203.29 | |
Cigna
| Professional | $71.33 | $71.33 | $71.33 | |
United
| Professional | $74.14 | $88.22 | $147.66 |