| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.00 | $32.00 | $32.00 | |
Aetna
| Professional | $32.00 | $32.00 | $32.00 | |
CareSource
| Facility | $9.44 | $11.81 | $24.26 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $17.20 | $17.20 | $48.74 |