| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.08 | $33.08 | $33.08 | |
CareSource
| Facility | $6.46 | $47.95 | $67.97 | |
CareSource
| Professional | $6.46 | $47.95 | $67.97 | |
Cigna
| Facility | $43.15 | $43.15 | $56.64 | |
Cigna
| Professional | $36.68 | $43.15 | $56.64 | |
United
| Professional | $21.28 | $32.67 | $48.31 |