| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.46 | $39.00 | $42.35 | |
CareSource
| Facility | $4.48 | $33.43 | $51.14 | |
CareSource
| Professional | $4.51 | $35.67 | $48.03 | |
Cigna
| Facility | $43.15 | $43.15 | $75.93 | |
Cigna
| Professional | $43.15 | $45.80 | $56.64 | |
United
| Professional | $29.89 | $35.60 | $60.23 |