| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.86 | $29.25 | $51.70 | |
Aetna
| Professional | $24.85 | $24.86 | $58.33 | |
CareSource
| Facility | $37.52 | $61,249.40 | $122,362.78 | |
Cigna
| Facility | $27.44 | $27.44 | $85.00 | |
Cigna
| Professional | $27.44 | $27.44 | $37.15 | |
United
| Professional | $27.79 | $29.25 | $35.47 |