| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.87 | $16.16 | $17.59 | |
CareSource
| Professional | $3.65 | $14.11 | $20.19 | |
Cigna
| Facility | 26 | $14.90 | $14.90 | $14.90 |
Cigna
| Professional | $13.24 | $18.18 | $54.16 | |
United
| Professional | $11.28 | $25.02 | $61.78 |