| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $43.65 | $43.65 | |
Aetna
| Professional | $19.95 | $22.91 | $33.88 | |
CareSource
| Facility | $29.51 | $39.81 | $47.86 | |
CareSource
| Professional | $29.51 | $39.81 | $47.86 | |
Cigna
| Facility | $24.55 | $46.77 | $87.10 | |
Cigna
| Professional | $11.75 | $141.25 | $141.25 | |
United
| Facility | $17.38 | $17.38 | $17.38 | |
United
| Professional | $12.30 | $13.18 | $36.31 |