| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.96 | $36.96 | $36.96 | |
Aetna
| Professional | $34.01 | $54.87 | $79.40 | |
CareSource
| Facility | $33.75 | $37.20 | $50.63 | |
CareSource
| Professional | $33.75 | $43.34 | $78.41 | |
Cigna
| Facility | $41.54 | $41.54 | $41.54 | |
Cigna
| Professional | $33.26 | $64.98 | $226.79 | |
United
| Professional | $30.59 | $58.68 | $108.67 |