| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $67.61 | $67.61 | |
Aetna
| Professional | $44.67 | $44.67 | $45.71 | |
CareSource
| Facility | $61.66 | $61.66 | $61.66 | |
CareSource
| Professional | $54.95 | $54.95 | $54.95 | |
Cigna
| Facility | $38.02 | $72.44 | $72.44 | |
Cigna
| Professional | $19.50 | $218.78 | $218.78 | |
United
| Facility | $26.92 | $26.92 | $26.92 | |
United
| Professional | $26.92 | $26.92 | $45.71 |