| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $89.13 | $1,412.54 | |
Aetna
| Professional | $45.71 | $67.61 | $97.72 | |
CareSource
| Facility | $58.88 | $58.88 | $72.44 | |
CareSource
| Professional | $64.57 | $64.57 | $64.57 | |
Cigna
| Facility | $34.67 | $95.50 | $95.50 | |
Cigna
| Professional | $52.48 | $91.20 | $436.52 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $51.29 | $83.18 | $134.90 |