| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $75.86 | |
Aetna
| Professional | $38.90 | $63.10 | $89.13 | |
CareSource
| Facility | $44.67 | $44.67 | $53.70 | |
CareSource
| Professional | $47.86 | $47.86 | $47.86 | |
Cigna
| Facility | $69.18 | $69.18 | $69.18 | |
Cigna
| Professional | $42.66 | $95.50 | $371.54 | |
United
| Professional | $37.15 | $66.07 | $120.23 |