| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.83 | $40.22 | $44.24 | |
Aetna
| Professional | $39.83 | $40.22 | $54.69 | |
CareSource
| Facility | $39.83 | $59.75 | $59.75 | |
Cigna
| Facility | $37.57 | $39.83 | $39.86 | |
Cigna
| Professional | $39.83 | $39.83 | $75.26 | |
United
| Professional | $38.76 | $39.83 | $45.60 |