| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.44 | $55.44 | $55.71 | |
Aetna
| Professional | $55.16 | $55.71 | $57.92 | |
CareSource
| Facility | $44.13 | $55.16 | $82.74 | |
CareSource
| Professional | $35.85 | $38.61 | $55.16 | |
Cigna
| Facility | $52.04 | $54.58 | $85.00 | |
Cigna
| Professional | $52.99 | $55.16 | $100.84 | |
United
| Professional | $22.06 | $55.16 | $79.89 |