| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.79 | $70.16 | $81.70 | |
Aetna
| Professional | $39.53 | $54.71 | $145.91 | |
CareSource
| Facility | $62.86 | $70.87 | $103.72 | |
CareSource
| Professional | $62.86 | $69.15 | $145.72 | |
Cigna
| Facility | $77.98 | $77.98 | $77.98 | |
Cigna
| Professional | $35.65 | $51.88 | $93.41 | |
United
| Professional | $40.95 | $56.81 | $91.35 |