| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $35.48 | $43.65 | |
Aetna
| Professional | $25.70 | $36.31 | $74.13 | |
CareSource
| Facility | $41.69 | $47.86 | $63.10 | |
CareSource
| Professional | $79.43 | $89.13 | $89.13 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $51.29 | $186.21 | $186.21 | |
United
| Professional | $29.51 | $41.69 | $64.57 |