| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.45 | $76.90 | $92.28 | |
Aetna
| Professional | $46.14 | $50.45 | $52.29 | |
CareSource
| Facility | $67.67 | $92.28 | $107.66 | |
CareSource
| Professional | $73.81 | $73.81 | $83.05 | |
Cigna
| Facility | $49.99 | $152.63 | $232.07 | |
Cigna
| Professional | $296.52 | $296.52 | $296.52 | |
United
| Professional | $25.84 | $27.68 | $83.05 |