| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $40.00 | |
Aetna
| Professional | $29.08 | $40.00 | $48.79 | |
CareSource
| Facility | $41.24 | $80.79 | $111.04 | |
CareSource
| Professional | $41.24 | $44.42 | $76.14 | |
Cigna
| Facility | $57.67 | $57.67 | $84.16 | |
Cigna
| Professional | $42.10 | $57.67 | $284.19 | |
United
| Professional | $37.76 | $49.22 | $82.04 |