| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.22 | $32.65 | $38.06 | |
CareSource
| Facility | $3.65 | $28.47 | $46.76 | |
CareSource
| Professional | $3.33 | $28.50 | $40.92 | |
Cigna
| Facility | $31.91 | $31.91 | $56.17 | |
Cigna
| Professional | $31.91 | $31.91 | $235.41 | |
United
| Professional | $22.52 | $28.47 | $45.21 |