| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.54 | $30.54 | $46.57 | |
Aetna
| Professional | $28.68 | $44.35 | $52.39 | |
CareSource
| Facility | $32.51 | $51.96 | $51.96 | |
CareSource
| Professional | $34.50 | $34.50 | $34.50 | |
Cigna
| Facility | $49.58 | $49.58 | $49.58 | |
Cigna
| Professional | $30.47 | $48.50 | $141.90 | |
United
| Professional | $38.89 | $63.19 | $85.09 |