| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.45 | $79.95 | $95.94 | |
Aetna
| Professional | $47.97 | $52.45 | $71.28 | |
CareSource
| Facility | $63.96 | $86.35 | $105.53 | |
CareSource
| Professional | $63.96 | $86.35 | $86.35 | |
Cigna
| Facility | $51.96 | $138.16 | $191.85 | |
Cigna
| Professional | $308.29 | $308.29 | $308.29 | |
United
| Professional | $26.86 | $31.98 | $102.34 |