| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $47.86 | $47.86 | |
Aetna
| Professional | $20.89 | $25.12 | $36.31 | |
CareSource
| Facility | $42.66 | $42.66 | $42.66 | |
CareSource
| Professional | $38.02 | $38.02 | $38.02 | |
Cigna
| Facility | $26.30 | $50.12 | $95.50 | |
Cigna
| Professional | $36.31 | $151.36 | $151.36 | |
United
| Facility | $19.05 | $19.05 | $19.05 | |
United
| Professional | $13.18 | $14.13 | $31.62 |