| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.77 | $43.86 | $52.64 | |
Aetna
| Professional | $26.32 | $28.77 | $29.83 | |
CareSource
| Facility | $38.60 | $52.64 | $61.41 | |
CareSource
| Professional | $42.11 | $42.11 | $47.37 | |
Cigna
| Facility | $28.51 | $42.11 | $105.27 | |
Cigna
| Professional | $18.87 | $66.05 | $169.13 | |
United
| Professional | $15.79 | $21.05 | $64.48 |