| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.27 | $30.17 | $32.84 | |
CareSource
| Facility | $3.35 | $25.11 | $40.13 | |
CareSource
| Professional | $3.51 | $27.04 | $41.37 | |
Cigna
| Facility | $32.79 | $32.79 | $58.43 | |
Cigna
| Professional | $32.79 | $32.79 | $242.30 | |
United
| Professional | $21.82 | $29.89 | $44.93 |