| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.55 | $62.82 | $67.41 | |
Aetna
| Professional | $44.10 | $44.54 | $49.00 | |
CareSource
| Facility | $44.11 | $44.49 | $66.17 | |
CareSource
| Professional | $102.28 | $102.28 | $102.28 | |
Cigna
| Facility | $41.61 | $44.11 | $85.00 | |
Cigna
| Professional | $44.11 | $44.11 | $82.50 | |
United
| Professional | $44.11 | $44.11 | $184.24 |