| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.98 | $71.98 | $84.68 | |
Aetna
| Professional | $70.28 | $71.98 | $71.98 | |
CareSource
| Facility | $25.09 | $25.91 | $45.34 | |
Cigna
| Facility | $60.25 | $60.25 | $85.00 | |
Cigna
| Professional | $60.25 | $60.25 | $140.31 | |
United
| Professional | $70.56 | $70.56 | $84.68 |