| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.06 | $41.06 | $41.52 | |
Aetna
| Professional | $41.11 | $41.11 | $41.52 | |
CareSource
| Facility | $41.11 | $61.67 | $61.67 | |
Cigna
| Facility | $38.78 | $41.11 | $85.00 | |
Cigna
| Professional | $41.11 | $41.11 | $84.10 | |
United
| Professional | $39.88 | $41.11 | $53.93 |