| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.22 | $70.55 | $1,400.00 | |
Aetna
| Professional | $46.25 | $66.39 | $82.73 | |
CareSource
| Facility | $52.26 | $57.46 | $62.60 | |
CareSource
| Professional | $55.64 | $55.64 | $55.64 | |
Cigna
| Facility | $83.79 | $83.79 | $83.79 | |
Cigna
| Professional | $47.37 | $77.98 | $201.91 | |
United
| Professional | $60.63 | $92.54 | $129.91 |