| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.37 | $46.37 | $46.37 | |
Aetna
| Professional | $43.22 | $44.38 | $49.32 | |
CareSource
| Facility | $60.10 | $121.16 | $157.06 | |
CareSource
| Professional | $58.34 | $64.72 | $110.95 | |
Cigna
| Facility | $61.54 | $61.54 | $120.00 | |
Cigna
| Professional | $44.92 | $61.54 | $440.98 | |
United
| Professional | $34.34 | $45.49 | $74.63 |