| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.14 | $60.14 | $60.14 | |
Aetna
| Professional | $49.15 | $57.56 | $62.98 | |
CareSource
| Facility | $75.67 | $145.53 | $203.74 | |
CareSource
| Professional | $69.51 | $81.48 | $119.16 | |
Cigna
| Facility | $73.27 | $73.27 | $125.48 | |
Cigna
| Professional | $53.49 | $73.27 | $525.91 | |
United
| Professional | $40.64 | $58.08 | $91.12 |