| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.80 | $63.80 | $70.11 | |
Aetna
| Professional | $62.01 | $71.20 | $83.33 | |
CareSource
| Facility | $60.21 | $68.43 | $127.72 | |
CareSource
| Professional | $84.82 | $84.82 | $84.82 | |
Cigna
| Facility | $100.27 | $100.27 | $100.27 | |
Cigna
| Professional | $73.22 | $83.78 | $349.26 | |
United
| Professional | $64.65 | $105.97 | $146.47 |