| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $51.29 | $51.29 | |
Aetna
| Professional | $22.91 | $26.92 | $30.90 | |
CareSource
| Facility | $45.71 | $45.71 | $45.71 | |
CareSource
| Professional | $40.74 | $40.74 | $40.74 | |
Cigna
| Facility | $28.18 | $53.70 | $102.33 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Facility | $20.42 | $20.42 | $20.42 | |
United
| Professional | $14.13 | $15.14 | $42.66 |