| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.15 | $65.05 | $74.87 | |
CareSource
| Facility | $96.40 | $102.60 | $131.46 | |
CareSource
| Professional | $85.50 | $105.71 | $198.23 | |
Cigna
| Facility | $103.24 | $103.24 | $103.24 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
United
| Professional | $39.52 | $42.66 | $87.64 |