| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.84 | $65.84 | $65.84 | |
Aetna
| Professional | $59.82 | $65.84 | $73.33 | |
CareSource
| Facility | $52.72 | $59.91 | $111.83 | |
Cigna
| Facility | $77.00 | $77.00 | $77.00 | |
Cigna
| Professional | $52.60 | $86.63 | $322.75 | |
United
| Professional | $54.35 | $84.55 | $113.68 |