| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.96 | $34.96 | $47.85 | |
Aetna
| Professional | $32.82 | $40.10 | $54.01 | |
CareSource
| Facility | $37.47 | $37.47 | $45.18 | |
CareSource
| Professional | $40.15 | $40.15 | $40.15 | |
Cigna
| Facility | $57.14 | $57.14 | $57.14 | |
Cigna
| Professional | $35.31 | $59.95 | $138.56 | |
United
| Professional | $38.83 | $53.39 | $82.05 |