| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.58 | $36.11 | $42.02 | |
CareSource
| Facility | $4.80 | $38.11 | $52.82 | |
CareSource
| Professional | $4.21 | $39.03 | $54.74 | |
Cigna
| Facility | $39.01 | $39.01 | $81.84 | |
Cigna
| Professional | $39.01 | $39.01 | $51.30 | |
United
| Professional | $30.18 | $35.17 | $64.93 |