| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.18 | $31.31 | $36.08 | |
CareSource
| Facility | $4.17 | $32.02 | $42.70 | |
CareSource
| Professional | $3.65 | $33.83 | $45.98 | |
Cigna
| Facility | $34.40 | $34.40 | $66.16 | |
Cigna
| Professional | $34.40 | $34.40 | $43.29 | |
United
| Facility | $3.04 | $22.82 | $36.13 | |
United
| Professional | $26.62 | $31.23 | $54.55 |