| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.58 | $31.38 | $37.65 | |
Aetna
| Professional | $18.82 | $20.32 | $20.58 | |
CareSource
| Facility | $31.38 | $90.36 | $677.70 | |
CareSource
| Professional | $30.12 | $30.12 | $119,998.80 | |
Cigna
| Facility | $20.39 | $30.12 | $75.31 | |
Cigna
| Professional | $120.98 | $120.98 | $120.98 | |
United
| Professional | $10.54 | $11.70 | $37.60 |