| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.35 | $31.35 | $37.04 | |
Aetna
| Professional | $31.67 | $36.69 | $37.04 | |
CareSource
| Facility | $36.69 | $55.04 | $55.04 | |
Cigna
| Facility | $34.61 | $36.69 | $85.00 | |
Cigna
| Professional | $36.69 | $36.69 | $60.34 | |
United
| Professional | $36.69 | $36.69 | $93.75 |