| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.22 | $49.14 | $58.97 | |
Aetna
| Professional | $29.48 | $32.22 | $33.40 | |
CareSource
| Facility | $43.24 | $58.97 | $68.79 | |
CareSource
| Professional | $47.17 | $47.17 | $53.07 | |
Cigna
| Facility | $31.94 | $76.52 | $117.91 | |
Cigna
| Professional | $189.47 | $189.47 | $189.47 | |
United
| Professional | $16.51 | $19.66 | $57.00 |