| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.33 | $59.33 | $59.93 | |
Aetna
| Professional | $52.33 | $56.91 | $63.69 | |
CareSource
| Facility | $46.43 | $52.76 | $98.49 | |
CareSource
| Professional | $62.55 | $62.55 | $65.41 | |
Cigna
| Facility | $94.36 | $94.36 | $94.36 | |
Cigna
| Professional | $36.00 | $58.23 | $104.65 | |
United
| Professional | $49.51 | $78.77 | $124.66 |