| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.77 | $52.45 | $128.74 | |
Aetna
| Professional | $31.25 | $79.12 | $159.90 | |
CareSource
| Facility | $36.69 | $40.61 | $44.25 | |
CareSource
| Professional | $39.34 | $39.34 | $49.38 | |
Cigna
| Facility | $58.82 | $58.82 | $58.82 | |
Cigna
| Professional | $37.59 | $92.20 | $246.36 | |
United
| Professional | $71.33 | $130.80 | $226.75 |