| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.74 | $35.74 | $36.27 | |
Aetna
| Professional | $35.54 | $35.54 | $36.27 | |
CareSource
| Facility | $35.54 | $53.33 | $53.33 | |
Cigna
| Facility | $33.54 | $35.54 | $85.00 | |
Cigna
| Professional | $35.54 | $35.54 | $48.93 | |
United
| Professional | $35.54 | $35.54 | $42.11 |