| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.77 | $42.33 | $50.79 | |
Aetna
| Professional | $25.40 | $27.43 | $27.77 | |
CareSource
| Facility | $37.25 | $45.71 | $50.79 | |
CareSource
| Professional | $40.63 | $40.63 | $45.71 | |
Cigna
| Facility | $27.51 | $45.01 | $101.58 | |
Cigna
| Professional | $14.09 | $49.04 | $163.21 | |
United
| Professional | $13.24 | $15.24 | $44.48 |