| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.74 | $36.74 | $37.13 | |
Aetna
| Professional | $36.77 | $36.77 | $37.13 | |
CareSource
| Facility | $36.77 | $55.16 | $55.16 | |
Cigna
| Facility | $34.68 | $36.77 | $85.00 | |
Cigna
| Professional | $36.77 | $36.77 | $65.62 | |
United
| Professional | $36.77 | $36.77 | $46.51 |