| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.18 | $45.18 | $45.18 | |
Aetna
| Professional | $45.18 | $49.44 | $73.64 | |
CareSource
| Facility | $49.91 | $51.54 | $90.20 | |
CareSource
| Professional | $51.54 | $51.54 | $51.54 | |
Cigna
| Facility | $49.22 | $49.22 | $66.73 | |
Cigna
| Professional | $49.22 | $49.22 | $279.08 | |
United
| Professional | $6.49 | $16.22 | $124.50 |