| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.42 | $32.35 | $36.54 | |
Aetna
| Professional | $32.35 | $32.35 | $36.54 | |
CareSource
| Facility | $20.35 | $21.02 | $30.53 | |
CareSource
| Professional | $47.18 | $47.18 | $47.18 | |
Cigna
| Facility | $35.25 | $35.25 | $85.00 | |
Cigna
| Professional | $35.25 | $35.25 | $130.37 | |
United
| Professional | $31.47 | $37.61 | $40.18 |