| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $52.48 | $52.48 | |
Aetna
| Professional | $23.99 | $28.18 | $32.36 | |
CareSource
| Facility | $47.86 | $47.86 | $47.86 | |
CareSource
| Professional | $41.69 | $41.69 | $41.69 | |
Cigna
| Facility | $29.51 | $56.23 | $104.71 | |
Cigna
| Professional | $169.82 | $169.82 | $169.82 | |
United
| Facility | $20.89 | $20.89 | $20.89 | |
United
| Professional | $14.79 | $15.85 | $43.65 |