| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.57 | $42.57 | $54.00 | |
Aetna
| Professional | $52.73 | $54.00 | $54.00 | |
CareSource
| Facility | $32.82 | $32.82 | $84.18 | |
Cigna
| Facility | $54.00 | $54.00 | $85.00 | |
Cigna
| Professional | $54.00 | $54.00 | $80.68 | |
United
| Professional | $52.94 | $52.94 | $63.53 |