| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.60 | $41.60 | $49.52 | |
Aetna
| Professional | $48.91 | $49.03 | $49.52 | |
CareSource
| Facility | $49.03 | $73.55 | $73.55 | |
Cigna
| Facility | $46.26 | $49.03 | $85.00 | |
Cigna
| Professional | $49.03 | $49.03 | $94.48 | |
United
| Professional | $49.03 | $49.03 | $59.74 |