| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.56 | $72.50 | $87.00 | |
Aetna
| Professional | $43.50 | $46.98 | $47.56 | |
CareSource
| Facility | $63.80 | $78.30 | $87.00 | |
CareSource
| Professional | $69.59 | $69.59 | $78.30 | |
Cigna
| Professional | $66.48 | $66.48 | $83.12 | |
United
| Professional | $24.36 | $34.79 | $114.29 |