| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.20 | $24.20 | $24.20 | |
Aetna
| Professional | $23.99 | $24.20 | $26.02 | |
CareSource
| Facility | $33.04 | $66.62 | $86.36 | |
CareSource
| Professional | $32.08 | $35.59 | $61.01 | |
Cigna
| Facility | $40.14 | $40.14 | $59.58 | |
Cigna
| Professional | $34.11 | $40.14 | $242.49 | |
United
| Professional | $24.62 | $31.48 | $41.03 |