| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.50 | $73.59 | $1,200.00 | |
Aetna
| Professional | $45.50 | $65.66 | $136.81 | |
CareSource
| Facility | $51.68 | $62.10 | $85.50 | |
CareSource
| Professional | $40.03 | $55.20 | $55.20 | |
Cigna
| Facility | $82.87 | $82.87 | $82.87 | |
Cigna
| Professional | $52.25 | $91.48 | $222.97 | |
United
| Professional | $57.76 | $98.39 | $146.31 |