| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $93.33 | $93.33 | |
Aetna
| Professional | $40.74 | $48.98 | $70.79 | |
CareSource
| Facility | $83.18 | $83.18 | $83.18 | |
CareSource
| Professional | $74.13 | $74.13 | $74.13 | |
Cigna
| Facility | $51.29 | $100.00 | $186.21 | |
Cigna
| Professional | $70.79 | $302.00 | $302.00 | |
United
| Facility | $37.15 | $37.15 | $37.15 | |
United
| Professional | $26.30 | $28.18 | $61.66 |