| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.10 | $33.10 | $33.10 | |
Aetna
| Professional | $25.98 | $31.67 | $33.10 | |
CareSource
| Facility | $41.65 | $80.09 | $112.12 | |
CareSource
| Professional | $34.61 | $44.85 | $59.35 | |
Cigna
| Facility | $30.91 | $30.91 | $64.69 | |
Cigna
| Professional | $22.56 | $30.91 | $271.13 | |
United
| Professional | $21.31 | $31.96 | $50.14 |