| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.78 | $35.89 | $35.89 | |
CareSource
| Facility | $50.66 | $63.33 | $73.89 | |
CareSource
| Professional | $50.66 | $50.66 | $57.00 | |
Cigna
| Facility | $50.66 | $50.66 | $50.66 | |
Cigna
| Professional | $18.23 | $19.72 | $203.50 | |
United
| Professional | $8.86 | $21.40 | $46.44 |