| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.77 | $31.77 | $33.54 | |
Aetna
| Professional | $28.43 | $33.54 | $52.41 | |
CareSource
| Facility | $25.67 | $34.38 | $56.02 | |
CareSource
| Professional | $36.17 | $36.17 | $36.17 | |
Cigna
| Facility | $52.43 | $52.43 | $52.43 | |
Cigna
| Professional | $31.40 | $43.37 | $145.52 | |
United
| Professional | $27.98 | $40.40 | $58.44 |