| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.24 | $29.24 | $29.24 | |
Aetna
| Professional | $29.24 | $42.99 | $66.22 | |
CareSource
| Facility | $75.98 | $88.66 | $104.36 | |
Cigna
| Facility | $81.53 | $81.53 | $81.53 | |
Cigna
| Professional | $56.91 | $56.91 | $335.33 | |
United
| Professional | $33.97 | $52.06 | $97.40 |