| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $61.66 | |
Aetna
| Professional | $51.12 | $58.47 | $69.76 | |
CareSource
| Facility | $57.74 | $66.01 | $71.91 | |
CareSource
| Professional | $63.92 | $63.92 | $63.92 | |
Cigna
| Facility | $62.16 | $62.16 | $62.16 | |
Cigna
| Professional | $51.72 | $84.41 | $252.57 | |
United
| Professional | $48.41 | $74.17 | $124.07 |