| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.62 | $43.72 | $44.91 | |
Aetna
| Professional | $43.19 | $43.19 | $43.72 | |
CareSource
| Facility | $43.19 | $64.79 | $64.79 | |
Cigna
| Facility | $40.75 | $43.19 | $85.00 | |
Cigna
| Professional | $43.19 | $43.19 | $82.52 | |
United
| Professional | $43.19 | $43.19 | $52.02 |