| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.01 | $86.90 | $104.28 | |
Aetna
| Professional | $52.14 | $56.31 | $57.01 | |
CareSource
| Facility | $76.47 | $93.85 | $104.28 | |
CareSource
| Professional | $83.42 | $83.42 | $93.85 | |
Cigna
| Facility | $56.49 | $83.42 | $208.55 | |
Cigna
| Professional | $80.12 | $100.15 | $335.09 | |
United
| Professional | $29.20 | $31.28 | $93.85 |