| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $138.04 | $138.04 | |
Aetna
| Professional | $64.57 | $74.13 | $85.11 | |
CareSource
| Facility | $123.03 | $123.03 | $123.03 | |
CareSource
| Professional | $109.65 | $109.65 | $109.65 | |
Cigna
| Facility | $75.86 | $147.91 | $275.42 | |
Cigna
| Professional | $446.68 | $446.68 | $446.68 | |
United
| Facility | $54.95 | $54.95 | $54.95 | |
United
| Professional | $41.69 | $47.86 | $114.82 |