| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.92 | $27.47 | $31.52 | |
CareSource
| Facility | $3.66 | $27.70 | $36.93 | |
CareSource
| Professional | $3.20 | $29.69 | $39.77 | |
Cigna
| Facility | $29.99 | $29.99 | $57.23 | |
Cigna
| Professional | $29.99 | $35.90 | $39.36 | |
United
| Facility | $2.71 | $20.36 | $32.24 | |
United
| Professional | $19.97 | $27.20 | $42.71 |