| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $67.61 | $67.61 | |
Aetna
| Professional | $30.90 | $36.31 | $52.48 | |
CareSource
| Facility | $60.26 | $60.26 | $60.26 | |
CareSource
| Professional | $53.70 | $53.70 | $53.70 | |
Cigna
| Facility | $37.15 | $87.10 | $134.90 | |
Cigna
| Professional | $218.78 | $218.78 | $218.78 | |
United
| Facility | $26.92 | $26.92 | $26.92 | |
United
| Professional | $19.05 | $20.42 | $56.23 |