| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.01 | $44.48 | $51.94 | |
CareSource
| Facility | $5.92 | $47.51 | $63.33 | |
CareSource
| Professional | $5.18 | $48.07 | $68.20 | |
Cigna
| Facility | $48.69 | $48.69 | $98.11 | |
Cigna
| Professional | $48.69 | $48.69 | $63.32 | |
United
| Professional | $37.68 | $44.37 | $80.91 |