| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $50.12 | $64.57 | |
Aetna
| Professional | $30.20 | $50.12 | $147.91 | |
CareSource
| Facility | $29.51 | $41.69 | $56.23 | |
CareSource
| Professional | $42.66 | $56.23 | $125.89 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $40.74 | $75.86 | $269.15 | |
United
| Professional | $34.67 | $57.54 | $93.33 |