| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.83 | $29.83 | $29.83 | |
Aetna
| Professional | $18.44 | $33.15 | $36.54 | |
CareSource
| Facility | $35.15 | $73.01 | $94.64 | |
CareSource
| Professional | $35.15 | $37.86 | $64.90 | |
Cigna
| Facility | $35.60 | $35.60 | $63.37 | |
Cigna
| Professional | $25.99 | $35.60 | $260.67 | |
United
| Professional | $23.52 | $28.31 | $44.96 |