| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.38 | $46.38 | $46.38 | |
Aetna
| Professional | $41.91 | $46.38 | $56.07 | |
CareSource
| Facility | $42.73 | $48.55 | $90.63 | |
CareSource
| Professional | $60.19 | $60.19 | $60.19 | |
Cigna
| Facility | $61.56 | $61.56 | $61.56 | |
Cigna
| Professional | $50.48 | $60.19 | $247.89 | |
United
| Professional | $39.72 | $57.33 | $94.46 |