| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.82 | $67.58 | $73.73 | |
CareSource
| Facility | $7.95 | $56.78 | $89.89 | |
CareSource
| Professional | $7.87 | $61.15 | $81.52 | |
Cigna
| Facility | $73.04 | $73.04 | $130.91 | |
Cigna
| Professional | $73.04 | $81.09 | $95.86 | |
United
| Facility | $6.52 | $48.89 | $77.41 | |
United
| Professional | $48.14 | $64.50 | $96.88 |