| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.51 | $86.15 | $103.38 | |
Aetna
| Professional | $51.69 | $55.83 | $56.51 | |
CareSource
| Facility | $75.81 | $93.04 | $103.38 | |
CareSource
| Professional | $82.70 | $82.70 | $93.04 | |
Cigna
| Facility | $56.00 | $82.70 | $206.75 | |
Cigna
| Professional | $79.30 | $99.12 | $332.19 | |
United
| Professional | $28.95 | $34.46 | $109.39 |