| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.29 | $26.29 | $30.72 | |
Aetna
| Professional | $28.91 | $30.00 | $30.72 | |
CareSource
| Facility | $14.31 | $14.68 | $25.69 | |
CareSource
| Professional | $14.22 | $14.22 | $14.68 | |
Cigna
| Facility | $30.72 | $85.00 | $85.00 | |
Cigna
| Professional | $30.72 | $30.72 | $30.72 | |
United
| Facility | $59.63 | $59.63 | $59.63 | |
United
| Professional | $30.00 | $33.00 | $36.14 |