| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.90 | $31.23 | $1,400.00 | |
Aetna
| Professional | $21.26 | $28.54 | $32.79 | |
CareSource
| Facility | $26.45 | $29.46 | $32.10 | |
CareSource
| Professional | $28.54 | $28.54 | $28.54 | |
Cigna
| Facility | $42.41 | $42.41 | $42.41 | |
Cigna
| Professional | $23.78 | $35.67 | $89.66 | |
United
| Professional | $28.92 | $42.00 | $63.12 |