| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.97 | $46.44 | $56.54 | |
CareSource
| Facility | $25.89 | $25.89 | $31.86 | |
CareSource
| Professional | $25.89 | $27.88 | $35.84 | |
Cigna
| Facility | $51.79 | $51.79 | $51.79 | |
Cigna
| Professional | $210.49 | $210.49 | $210.49 | |
United
| Professional | $33.82 | $55.24 | $89.38 |