| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.27 | $40.28 | $40.31 | |
Aetna
| Professional | $39.86 | $39.86 | $40.28 | |
CareSource
| Facility | $39.86 | $59.81 | $59.81 | |
Cigna
| Facility | $37.61 | $39.86 | $85.00 | |
Cigna
| Professional | $39.86 | $39.86 | $72.88 | |
United
| Professional | $39.15 | $39.86 | $46.07 |