| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.33 | $31.33 | $31.64 | |
Aetna
| Professional | $31.27 | $31.58 | $42.94 | |
CareSource
| Facility | $31.27 | $46.91 | $46.91 | |
Cigna
| Facility | $29.50 | $31.27 | $85.00 | |
Cigna
| Professional | $31.27 | $31.27 | $57.48 | |
United
| Professional | $31.27 | $31.27 | $45.35 |