| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.03 | $37.65 | $42.63 | |
CareSource
| Facility | $4.73 | $36.26 | $50.08 | |
CareSource
| Professional | $4.38 | $36.26 | $52.04 | |
Cigna
| Facility | $42.67 | $42.67 | $80.65 | |
Cigna
| Professional | $42.67 | $42.67 | $51.15 | |
United
| Professional | $32.22 | $37.56 | $66.51 |