| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.88 | $63.84 | $76.61 | |
Aetna
| Professional | $38.29 | $41.88 | $43.41 | |
CareSource
| Facility | $56.18 | $76.61 | $89.37 | |
CareSource
| Professional | $61.28 | $61.28 | $68.94 | |
Cigna
| Facility | $41.50 | $99.41 | $153.22 | |
Cigna
| Professional | $246.16 | $246.16 | $246.16 | |
United
| Professional | $21.45 | $25.54 | $74.05 |