| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.47 | $43.85 | $52.50 | |
Aetna
| Professional | $34.47 | $43.41 | $43.85 | |
CareSource
| Facility | $43.41 | $65.12 | $65.12 | |
Cigna
| Facility | $40.95 | $43.41 | $85.00 | |
Cigna
| Professional | $43.41 | $43.41 | $88.50 | |
United
| Professional | $43.41 | $43.41 | $60.00 |