| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.40 | $63.69 | $287.97 | |
Aetna
| Professional | $63.06 | $63.06 | $86.60 | |
CareSource
| Facility | $63.06 | $94.59 | $94.59 | |
Cigna
| Facility | $59.49 | $63.06 | $279.74 | |
Cigna
| Professional | $63.06 | $63.06 | $275.83 | |
United
| Professional | $63.06 | $70.20 | $280.81 |