| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.82 | $57.68 | $66.42 | |
CareSource
| Facility | $85.48 | $91.03 | $116.57 | |
CareSource
| Professional | $75.86 | $93.74 | $175.88 | |
Cigna
| Facility | $91.55 | $91.55 | $91.55 | |
Cigna
| Professional | $33.32 | $33.32 | $33.32 | |
United
| Professional | $34.63 | $37.84 | $82.55 |