| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.15 | $62.15 | $62.77 | |
Aetna
| Professional | $61.79 | $62.40 | $68.65 | |
CareSource
| Facility | $61.80 | $92.70 | $92.70 | |
Cigna
| Facility | $55.28 | $61.80 | $237.44 | |
Cigna
| Professional | $61.80 | $61.80 | $297.56 | |
United
| Professional | $61.80 | $61.80 | $279.33 |