| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.70 | $23.70 | $23.70 | |
Aetna
| Professional | $23.70 | $26.33 | $29.03 | |
CareSource
| Facility | $27.92 | $58.00 | $75.18 | |
CareSource
| Professional | $27.92 | $30.07 | $51.55 | |
Cigna
| Facility | $25.81 | $25.81 | $50.34 | |
Cigna
| Professional | $21.94 | $25.81 | $207.79 | |
United
| Professional | $15.68 | $21.43 | $39.97 |