| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.16 | $91.71 | $110.06 | |
Aetna
| Professional | $55.03 | $60.16 | $62.36 | |
CareSource
| Facility | $80.70 | $110.06 | $128.40 | |
CareSource
| Professional | $88.04 | $88.04 | $99.05 | |
Cigna
| Facility | $59.61 | $148.76 | $220.09 | |
Cigna
| Professional | $29.58 | $103.51 | $353.64 | |
United
| Professional | $31.68 | $37.72 | $109.39 |