| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.03 | $45.78 | $54.93 | |
Aetna
| Professional | $27.47 | $30.03 | $31.13 | |
CareSource
| Facility | $36.61 | $49.44 | $60.42 | |
CareSource
| Professional | $36.61 | $49.44 | $49.44 | |
Cigna
| Facility | $29.75 | $90.58 | $117.58 | |
Cigna
| Professional | $176.51 | $176.51 | $176.51 | |
United
| Facility | $15.38 | $15.38 | $15.38 | |
United
| Professional | $15.38 | $18.30 | $53.10 |