| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.59 | $29.59 | $29.59 | |
Aetna
| Professional | $18.77 | $22.07 | $29.59 | |
CareSource
| Facility | $26.91 | $43.17 | $52.01 | |
CareSource
| Professional | $29.72 | $32.69 | $34.54 | |
Cigna
| Facility | $36.03 | $36.03 | $36.03 | |
Cigna
| Professional | $27.06 | $81.02 | $116.06 | |
United
| Professional | $22.28 | $30.10 | $43.65 |