| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.57 | $31.75 | $35.60 | |
CareSource
| Facility | $3.95 | $29.53 | $42.22 | |
CareSource
| Professional | $3.70 | $31.80 | $42.39 | |
Cigna
| Facility | $35.56 | $35.56 | $62.68 | |
Cigna
| Professional | $35.56 | $35.56 | $46.67 | |
United
| Professional | $21.28 | $29.62 | $45.52 |