| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.68 | $123.01 | $153.97 | |
CareSource
| Facility | $169.34 | $211.01 | $237.38 | |
CareSource
| Professional | $159.80 | $193.42 | $407.69 | |
Cigna
| Facility | $180.55 | $180.55 | $180.55 | |
Cigna
| Professional | $63.92 | $63.92 | $63.92 | |
United
| Professional | $66.44 | $87.73 | $281.33 |