| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.22 | $33.22 | $67.88 | |
Aetna
| Professional | $49.95 | $49.95 | $67.88 | |
CareSource
| Facility | $49.95 | $74.93 | $74.93 | |
Cigna
| Facility | $47.12 | $49.95 | $85.00 | |
Cigna
| Professional | $49.95 | $49.95 | $94.08 | |
United
| Professional | $49.95 | $49.95 | $72.34 |