| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.24 | $68.62 | $68.62 | |
Aetna
| Professional | $14.20 | $22.24 | $27.83 | |
CareSource
| Facility | $28.38 | $31.22 | $42.57 | |
CareSource
| Professional | $30.61 | $45.92 | $70.98 | |
Cigna
| Facility | $40.26 | $40.26 | $40.26 | |
Cigna
| Professional | $29.16 | $29.16 | $152.79 | |
United
| Professional | $19.19 | $29.53 | $44.04 |