| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $20.42 | $28.84 | $38.02 | |
CareSource
| Facility | $31.62 | $31.62 | $64.57 | |
CareSource
| Professional | $33.88 | $33.88 | $57.54 | |
Cigna
| Facility | $28.84 | $74.13 | $74.13 | |
Cigna
| Professional | $24.55 | $24.55 | $223.87 | |
United
| Facility | $18.62 | $21.88 | $31.62 | |
United
| Professional | $18.62 | $24.55 | $38.02 |