| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.96 | $73.11 | $87.74 | |
Aetna
| Professional | $43.87 | $47.96 | $49.72 | |
CareSource
| Facility | $64.34 | $87.74 | $102.36 | |
CareSource
| Professional | $70.19 | $70.19 | $78.95 | |
Cigna
| Facility | $47.53 | $145.10 | $175.46 | |
Cigna
| Professional | $281.92 | $281.92 | $281.92 | |
United
| Professional | $24.57 | $29.25 | $93.58 |