| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.64 | $80.23 | $96.29 | |
Aetna
| Professional | $48.14 | $51.99 | $52.64 | |
CareSource
| Facility | $70.61 | $86.66 | $96.29 | |
CareSource
| Professional | $77.03 | $77.03 | $86.66 | |
Cigna
| Facility | $52.15 | $91.59 | $192.54 | |
Cigna
| Professional | $22.54 | $91.89 | $309.39 | |
United
| Professional | $22.85 | $27.20 | $64.19 |