| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.22 | $36.22 | $72.45 | |
Aetna
| Professional | $36.22 | $38.97 | $44.39 | |
CareSource
| Facility | $40.01 | $40.01 | $46.99 | |
CareSource
| Professional | $41.77 | $41.77 | $41.77 | |
Cigna
| Facility | $45.11 | $45.11 | $45.11 | |
Cigna
| Professional | $32.15 | $59.18 | $187.11 | |
United
| Professional | $30.77 | $51.97 | $90.64 |