| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.38 | $46.38 | $56.22 | |
Aetna
| Professional | $41.91 | $52.65 | $66.95 | |
CareSource
| Facility | $42.73 | $48.55 | $90.63 | |
CareSource
| Professional | $71.23 | $71.23 | $71.23 | |
Cigna
| Facility | $71.34 | $71.34 | $71.34 | |
Cigna
| Professional | $52.07 | $70.22 | $247.89 | |
United
| Professional | $53.45 | $78.59 | $116.15 |