| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.60 | $27.06 | $70.48 | |
Aetna
| Professional | $23.13 | $36.13 | $70.48 | |
CareSource
| Facility | $25.44 | $40.64 | $41.80 | |
CareSource
| Professional | $26.99 | $56.07 | $81.47 | |
Cigna
| Facility | $38.79 | $38.79 | $38.79 | |
Cigna
| Professional | $22.43 | $55.65 | $110.72 | |
United
| Professional | $58.00 | $78.50 | $127.98 |