| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.55 | $27.15 | $27.15 | |
CareSource
| Facility | $38.33 | $47.91 | $55.90 | |
CareSource
| Professional | $38.33 | $38.33 | $43.12 | |
Cigna
| Facility | $38.33 | $38.33 | $38.33 | |
Cigna
| Professional | $16.80 | $16.80 | $16.80 | |
United
| Professional | $7.38 | $11.18 | $35.13 |