| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.25 | $36.57 | $60.83 | |
Aetna
| Professional | $30.41 | $39.25 | $44.66 | |
CareSource
| Facility | $40.54 | $54.74 | $66.91 | |
CareSource
| Professional | $40.54 | $54.74 | $54.74 | |
Cigna
| Facility | $32.95 | $100.64 | $149.09 | |
Cigna
| Professional | $18.87 | $66.05 | $195.45 | |
United
| Professional | $18.25 | $23.88 | $64.88 |