| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $30.90 | $38.90 | $38.90 | |
CareSource
| Facility | $39.81 | $60.26 | $79.43 | |
Cigna
| Professional | $46.77 | $46.77 | $46.77 | |
United
| Facility | $38.90 | $38.90 | $39.81 | |
United
| Professional | $33.11 | $36.31 | $56.23 |