| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.71 | $30.71 | $30.71 | |
Aetna
| Professional | $27.24 | $30.71 | $36.46 | |
CareSource
| Facility | $27.96 | $31.77 | $61.00 | |
Cigna
| Facility | $40.03 | $40.03 | $40.03 | |
Cigna
| Professional | $32.82 | $39.39 | $162.13 | |
United
| Professional | $26.14 | $37.29 | $62.18 |