| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.73 | $24.73 | $24.73 | |
Aetna
| Professional | $23.06 | $23.67 | $24.73 | |
CareSource
| Facility | $32.06 | $64.62 | $83.77 | |
CareSource
| Professional | $31.12 | $34.52 | $59.18 | |
Cigna
| Facility | $27.38 | $27.38 | $57.79 | |
Cigna
| Professional | $19.98 | $27.38 | $235.17 | |
United
| Professional | $18.32 | $24.26 | $39.81 |