| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.48 | $30.50 | $98.77 | |
CareSource
| Facility | $24.10 | $24.10 | $24.10 | |
CareSource
| Professional | $75.31 | $79.41 | $93.85 | |
Cigna
| Facility | $33.93 | $33.93 | $33.93 | |
Cigna
| Professional | $19.73 | $52.37 | $104.87 | |
United
| Professional | $45.13 | $56.90 | $83.13 |