| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.66 | $25.66 | $32.72 | |
Aetna
| Professional | $24.62 | $32.01 | $50.87 | |
CareSource
| Facility | $28.15 | $32.36 | $44.12 | |
CareSource
| Professional | $36.51 | $54.77 | $84.65 | |
Cigna
| Facility | $39.92 | $39.92 | $39.92 | |
Cigna
| Professional | $29.17 | $43.06 | $85.85 | |
United
| Professional | $30.75 | $46.05 | $68.59 |