| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $70.79 | |
Aetna
| Professional | $60.26 | $69.18 | $85.11 | |
CareSource
| Facility | $79.43 | $79.43 | $95.50 | |
CareSource
| Professional | $85.11 | $85.11 | $85.11 | |
Cigna
| Facility | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $70.79 | $107.15 | $398.11 | |
United
| Professional | $64.57 | $93.33 | $138.04 |