| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.07 | $76.97 | $180.81 | |
Aetna
| Professional | $38.47 | $42.07 | $67.52 | |
CareSource
| Facility | $56.44 | $76.97 | $89.79 | |
CareSource
| Professional | $61.57 | $61.57 | $69.27 | |
Cigna
| Facility | $41.69 | $110.11 | $153.91 | |
Cigna
| Professional | $29.16 | $96.12 | $247.31 | |
United
| Professional | $23.09 | $30.33 | $97.50 |