| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.88 | $73.09 | $73.09 | |
Aetna
| Professional | $39.88 | $51.52 | $65.00 | |
CareSource
| Facility | $44.05 | $45.49 | $79.61 | |
CareSource
| Professional | $44.05 | $44.05 | $45.49 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $61.33 | $246.35 | $246.35 | |
United
| Professional | $73.09 | $77.48 | $81.86 |