| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.36 | $93.75 | $125.00 | |
Aetna
| Professional | $35.93 | $65.12 | $125.66 | |
CareSource
| Facility | $51.74 | $59.50 | $83.15 | |
CareSource
| Professional | $68.19 | $102.29 | $158.09 | |
Cigna
| Facility | $73.68 | $73.68 | $73.68 | |
Cigna
| Professional | $55.30 | $84.93 | $184.27 | |
United
| Professional | $64.78 | $99.64 | $147.57 |