| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $31.02 | $34.08 | |
Aetna
| Professional | $28.96 | $28.97 | $40.46 | |
CareSource
| Facility | $43.70 | $61,249.40 | $122,362.78 | |
Cigna
| Facility | $28.97 | $31.94 | $31.94 | |
Cigna
| Professional | $31.94 | $31.94 | $43.28 | |
United
| Professional | $32.38 | $34.08 | $41.35 |