| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $87.10 | $87.10 | |
Aetna
| Professional | $38.02 | $45.71 | $67.61 | |
CareSource
| Facility | $77.62 | $77.62 | $77.62 | |
CareSource
| Professional | $69.18 | $69.18 | $69.18 | |
Cigna
| Professional | $66.07 | $66.07 | $83.18 | |
United
| Facility | $34.67 | $34.67 | $34.67 | |
United
| Professional | $24.55 | $33.88 | $79.43 |