| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.54 | $32.03 | $35.67 | |
CareSource
| Facility | $3.89 | $29.05 | $42.61 | |
CareSource
| Professional | $3.73 | $31.28 | $44.95 | |
Cigna
| Facility | $35.11 | $35.11 | $62.05 | |
Cigna
| Professional | $35.11 | $35.11 | $41.86 | |
United
| Professional | $25.25 | $31.96 | $49.50 |