| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.65 | $61.99 | $74.39 | |
Aetna
| Professional | $37.19 | $40.65 | $42.15 | |
CareSource
| Facility | $54.55 | $74.39 | $86.78 | |
CareSource
| Professional | $59.51 | $59.51 | $66.95 | |
Cigna
| Facility | $40.29 | $107.26 | $148.74 | |
Cigna
| Professional | $86.17 | $93.16 | $239.02 | |
United
| Facility | $29.75 | $29.75 | $29.75 | |
United
| Professional | $22.32 | $29.75 | $91.33 |