| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.92 | $51.90 | $57.00 | |
CareSource
| Facility | $5.98 | $44.71 | $69.03 | |
CareSource
| Professional | $6.04 | $48.15 | $64.23 | |
Cigna
| Facility | $44.33 | $44.33 | $127.00 | |
Cigna
| Professional | $44.33 | $67.81 | $419.63 | |
United
| Professional | $32.24 | $45.78 | $68.97 |