| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.27 | $26.27 | $26.27 | |
Aetna
| Professional | $22.44 | $26.27 | $35.61 | |
CareSource
| Facility | $27.09 | $53.06 | $72.92 | |
CareSource
| Professional | $27.09 | $29.17 | $50.00 | |
Cigna
| Facility | $38.15 | $42.22 | $55.27 | |
Cigna
| Professional | $32.43 | $38.15 | $186.63 | |
United
| Facility | $55.06 | $55.06 | $55.06 | |
United
| Professional | $24.80 | $32.31 | $54.09 |