| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $56.23 | $81.28 | |
Aetna
| Professional | $36.31 | $42.66 | $61.66 | |
CareSource
| Facility | $74.13 | $74.13 | $74.13 | |
CareSource
| Professional | $64.57 | $64.57 | $64.57 | |
Cigna
| Facility | $44.67 | $87.10 | $162.18 | |
Cigna
| Professional | $61.66 | $263.03 | $263.03 | |
United
| Facility | $32.36 | $32.36 | $32.36 | |
United
| Professional | $22.91 | $24.55 | $53.70 |