| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.25 | $56.04 | $61.88 | |
Aetna
| Professional | $54.71 | $54.71 | $56.04 | |
CareSource
| Facility | $54.71 | $82.07 | $82.07 | |
Cigna
| Facility | $51.61 | $54.71 | $85.00 | |
Cigna
| Professional | $54.71 | $54.71 | $104.68 | |
United
| Professional | $54.71 | $54.71 | $69.20 |