| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.58 | $33.65 | $120.66 | |
Aetna
| Professional | $25.33 | $25.33 | $120.66 | |
CareSource
| Facility | $25.33 | $38.00 | $38.00 | |
Cigna
| Facility | $23.90 | $25.33 | $123.81 | |
Cigna
| Professional | $25.33 | $25.33 | $240.40 | |
United
| Professional | $25.33 | $28.20 | $91.79 |