| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $39.81 | $48.98 | |
CareSource
| Facility | $48.98 | $48.98 | $58.88 | |
CareSource
| Professional | $52.48 | $52.48 | $52.48 | |
Cigna
| Facility | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $21.88 | $57.54 | $245.47 | |
United
| Professional | $28.84 | $38.90 | $83.18 |