| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $21.88 | $25.12 | |
CareSource
| Facility | $37.15 | $37.15 | $37.15 | |
CareSource
| Professional | $33.11 | $33.11 | $33.11 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $18.62 | $131.83 | $131.83 | |
United
| Professional | $8.91 | $16.60 | $34.67 |