| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.30 | $43.30 | $64.95 | |
Aetna
| Professional | $40.75 | $42.28 | $43.30 | |
CareSource
| Facility | $29.47 | $30.23 | $52.90 | |
CareSource
| Professional | $29.28 | $29.28 | $30.23 | |
Cigna
| Facility | $28.87 | $43.30 | $43.30 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
United
| Professional | $40.53 | $43.57 | $45.39 |