| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.08 | $31.08 | $34.19 | |
Aetna
| Professional | $30.78 | $30.78 | $32.32 | |
CareSource
| Facility | $30.78 | $33.86 | $46.17 | |
CareSource
| Professional | $30.78 | $30.78 | $71.37 | |
Cigna
| Facility | $29.03 | $32.32 | $32.32 | |
Cigna
| Professional | $30.78 | $30.78 | $31.94 | |
United
| Professional | $30.78 | $33.86 | $38.20 |