| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.08 | $55.08 | $64.80 | |
Aetna
| Professional | $53.78 | $55.08 | $55.08 | |
CareSource
| Facility | $7.81 | $8.06 | $14.11 | |
Cigna
| Facility | $55.08 | $55.08 | $85.00 | |
Cigna
| Professional | $55.08 | $55.08 | $82.30 | |
United
| Professional | $54.00 | $54.00 | $64.80 |