| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.19 | $46.19 | $46.19 | |
Aetna
| Professional | $29.79 | $51.32 | $56.58 | |
CareSource
| Facility | $50.34 | $113.02 | $146.51 | |
CareSource
| Professional | $54.42 | $100.46 | $194.10 | |
Cigna
| Facility | $98.11 | $98.11 | $98.11 | |
Cigna
| Professional | $34.15 | $34.15 | $403.53 | |
United
| Professional | $40.29 | $41.77 | $83.72 |