| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $70.79 | $70.79 | |
Aetna
| Professional | $32.36 | $38.02 | $43.65 | |
CareSource
| Facility | $63.10 | $63.10 | $63.10 | |
CareSource
| Professional | $56.23 | $56.23 | $56.23 | |
Cigna
| Facility | $38.90 | $75.86 | $141.25 | |
Cigna
| Professional | $229.09 | $229.09 | $229.09 | |
United
| Facility | $28.18 | $28.18 | $28.18 | |
United
| Professional | $19.95 | $21.38 | $58.88 |