| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.14 | $42.14 | $49.58 | |
Aetna
| Professional | $41.15 | $42.14 | $42.14 | |
CareSource
| Facility | $15.89 | $16.41 | $28.72 | |
Cigna
| Facility | $42.14 | $42.14 | $85.00 | |
Cigna
| Professional | $42.14 | $42.14 | $50.01 | |
United
| Professional | $39.38 | $41.31 | $41.31 |