| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.55 | $30.81 | $30.81 | |
CareSource
| Professional | $7.55 | $7.55 | $7.55 | |
Cigna
| Facility | 26 | $30.04 | $30.04 | $30.04 |
Cigna
| Professional | $15.02 | $22.46 | $65.44 | |
United
| Professional | $18.93 | $32.94 | $63.56 |