| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.10 | $55.04 | $66.05 | |
Aetna
| Professional | $33.02 | $35.65 | $36.10 | |
CareSource
| Facility | $48.43 | $59.44 | $66.05 | |
CareSource
| Professional | $52.84 | $52.84 | $59.44 | |
Cigna
| Facility | $35.78 | $52.84 | $132.08 | |
Cigna
| Professional | $10.28 | $62.98 | $212.22 | |
United
| Professional | $10.60 | $18.48 | $44.03 |