| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.98 | $22.29 | $22.29 | |
CareSource
| Facility | $28.84 | $39.33 | $47.20 | |
CareSource
| Professional | $31.46 | $31.46 | $35.40 | |
Cigna
| Facility | $54.26 | $54.26 | $54.26 | |
Cigna
| Professional | $19.57 | $28.41 | $72.36 | |
United
| Professional | $14.42 | $24.92 | $55.63 |