| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $45.71 | $61.66 | $114.82 | |
CareSource
| Facility | $69.18 | $69.18 | $144.54 | |
CareSource
| Professional | $74.13 | $74.13 | $128.82 | |
Cigna
| Facility | $75.86 | $162.18 | $162.18 | |
Cigna
| Professional | $56.23 | $56.23 | $478.63 | |
United
| Facility | $70.79 | $70.79 | $120.23 | |
United
| Professional | $64.57 | $83.18 | $131.83 |