| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.09 | $48.49 | $48.49 | |
Aetna
| Professional | $14.40 | $30.41 | $44.09 | |
CareSource
| Facility | $41.98 | $47.65 | $69.27 | |
CareSource
| Professional | $41.98 | $46.18 | $97.32 | |
Cigna
| Facility | $53.31 | $53.31 | $53.31 | |
Cigna
| Professional | $35.68 | $80.01 | $116.06 | |
United
| Professional | $27.77 | $39.24 | $58.77 |