| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.12 | $101.70 | $185.40 | |
Aetna
| Professional | $16.21 | $17.22 | $17.22 | |
CareSource
| Facility | $20.26 | $25.33 | $30.39 | |
CareSource
| Professional | $20.26 | $27.35 | $27.35 | |
Cigna
| Facility | $47.24 | $47.24 | $47.24 | |
Cigna
| Professional | $10.65 | $10.65 | $10.65 | |
United
| Professional | $9.11 | $12.42 | $32.42 |