| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.02 | $22.99 | $22.99 | |
CareSource
| Facility | $32.46 | $40.58 | $47.34 | |
CareSource
| Professional | $32.46 | $32.46 | $36.52 | |
Cigna
| Facility | $32.46 | $32.46 | $32.46 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
United
| Professional | $11.89 | $13.83 | $52.30 |