| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.56 | $241.88 | $241.88 | |
Aetna
| Professional | $32.74 | $35.79 | $37.10 | |
CareSource
| Facility | $48.02 | $65.48 | $76.39 | |
CareSource
| Professional | $52.38 | $52.38 | $58.93 | |
Cigna
| Facility | $35.46 | $94.41 | $130.93 | |
Cigna
| Professional | $75.68 | $81.83 | $210.39 | |
United
| Professional | $19.64 | $26.19 | $80.39 |