| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.64 | $37.99 | $1,400.00 | |
Aetna
| Professional | $32.44 | $40.95 | $62.96 | |
CareSource
| Facility | $33.86 | $33.86 | $40.28 | |
CareSource
| Professional | $35.81 | $35.81 | $35.81 | |
Cigna
| Facility | $54.30 | $54.30 | $54.30 | |
Cigna
| Professional | $31.39 | $46.99 | $151.25 | |
United
| Professional | $29.94 | $45.92 | $68.72 |