| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.95 | $45.66 | $54.80 | |
Aetna
| Professional | $27.40 | $29.95 | $29.95 | |
CareSource
| Facility | $40.18 | $49.32 | $54.80 | |
CareSource
| Professional | $43.84 | $43.84 | $49.32 | |
Cigna
| Facility | $29.68 | $43.84 | $109.56 | |
Cigna
| Professional | $15.21 | $52.66 | $176.07 | |
United
| Professional | $16.11 | $16.44 | $51.77 |