| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.23 | $56.60 | $67.92 | |
Aetna
| Professional | $45.22 | $45.23 | $45.23 | |
CareSource
| Facility | $49.81 | $67.92 | $79.23 | |
CareSource
| Professional | $54.34 | $54.34 | $61.13 | |
Cigna
| Facility | $36.79 | $54.34 | $54.34 | |
Cigna
| Professional | $19.44 | $65.05 | $218.25 | |
United
| Professional | $27.14 | $27.17 | $61.06 |