| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.29 | $48.29 | $48.29 | |
Aetna
| Professional | $42.41 | $45.88 | $51.23 | |
CareSource
| Facility | $37.59 | $42.71 | $79.73 | |
CareSource
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Facility | $54.25 | $54.25 | $54.25 | |
Cigna
| Professional | $37.51 | $61.78 | $218.30 | |
United
| Professional | $35.35 | $48.75 | $80.93 |