| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.38 | $49.77 | $51.59 | |
Aetna
| Professional | $49.28 | $49.77 | $54.74 | |
CareSource
| Facility | $49.28 | $73.92 | $73.92 | |
Cigna
| Facility | $46.49 | $49.28 | $85.00 | |
Cigna
| Professional | $49.28 | $49.28 | $74.20 | |
United
| Professional | $32.03 | $49.28 | $71.37 |