| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $31.75 | $37.15 | $52.53 | |
CareSource
| Facility | $38.32 | $75.08 | $103.18 | |
CareSource
| Professional | $38.32 | $41.27 | $70.75 | |
Cigna
| Facility | $52.17 | $52.17 | $68.69 | |
Cigna
| Professional | $44.34 | $52.17 | $264.08 | |
United
| Professional | $36.11 | $46.62 | $76.20 |