| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.77 | $29.92 | $32.90 | |
Aetna
| Professional | $26.51 | $26.51 | $30.22 | |
CareSource
| Facility | $26.51 | $26.51 | $39.77 | |
CareSource
| Professional | $26.51 | $26.51 | $61.47 | |
Cigna
| Facility | $20.83 | $73.12 | $73.12 | |
Cigna
| Professional | $26.51 | $26.51 | $26.51 | |
United
| Professional | $26.51 | $29.43 | $86.02 |