| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.00 | $37.00 | $43.53 | |
Aetna
| Professional | $36.13 | $37.00 | $37.00 | |
CareSource
| Facility | $40.64 | $44,999.55 | $69,999.30 | |
Cigna
| Facility | $33.65 | $40.71 | $40.71 | |
Cigna
| Professional | $40.71 | $40.71 | $50.28 | |
United
| Professional | $39.90 | $39.90 | $47.77 |