| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.72 | $50.36 | $64.33 | |
Aetna
| Professional | $28.69 | $42.07 | $64.09 | |
CareSource
| Facility | $28.41 | $40.09 | $56.60 | |
CareSource
| Professional | $52.39 | $63.01 | $121.75 | |
Cigna
| Facility | $53.78 | $53.78 | $53.78 | |
Cigna
| Professional | $38.45 | $65.36 | $187.11 | |
United
| Professional | $47.74 | $63.01 | $96.78 |