| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.87 | $46.87 | $48.25 | |
Aetna
| Professional | $45.77 | $46.87 | $46.87 | |
CareSource
| Facility | $8.36 | $8.64 | $15.12 | |
Cigna
| Facility | $46.87 | $46.87 | $85.00 | |
Cigna
| Professional | $46.87 | $46.87 | $70.03 | |
United
| Professional | $45.95 | $45.95 | $55.14 |