| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.62 | $27.84 | $31.20 | |
CareSource
| Facility | $3.45 | $25.84 | $37.03 | |
CareSource
| Professional | $3.24 | $27.83 | $37.10 | |
Cigna
| Facility | $30.64 | $30.64 | $54.05 | |
Cigna
| Professional | $30.64 | $36.38 | $226.54 | |
United
| Professional | $18.62 | $25.71 | $39.84 |