| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $24.55 | $275.42 | |
Aetna
| Professional | $21.88 | $33.11 | $69.18 | |
CareSource
| Facility | $22.91 | $27.54 | $37.15 | |
CareSource
| Professional | $22.39 | $23.99 | $53.70 | |
Cigna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Professional | $24.55 | $48.98 | $125.89 | |
United
| Professional | $19.95 | $27.54 | $40.74 |