| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.28 | $30.28 | $30.28 | |
Aetna
| Professional | $30.28 | $33.92 | $37.09 | |
CareSource
| Facility | $60.38 | $82.34 | $96.06 | |
CareSource
| Professional | $35.68 | $65.87 | $127.26 | |
Cigna
| Facility | $64.31 | $64.31 | $64.31 | |
Cigna
| Professional | $28.02 | $28.02 | $266.02 | |
United
| Professional | $26.81 | $33.39 | $49.10 |