| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.21 | $85.69 | $102.83 | |
Aetna
| Professional | $51.41 | $56.21 | $58.27 | |
CareSource
| Facility | $75.41 | $102.83 | $119.96 | |
CareSource
| Professional | $82.26 | $82.26 | $92.54 | |
Cigna
| Facility | $55.70 | $118.53 | $205.64 | |
Cigna
| Professional | $75.68 | $81.83 | $330.41 | |
United
| Professional | $25.01 | $30.85 | $86.35 |