| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.42 | $34.54 | $38.03 | |
CareSource
| Facility | $3.99 | $30.00 | $45.96 | |
CareSource
| Professional | $4.01 | $32.31 | $43.07 | |
Cigna
| Facility | $37.64 | $37.64 | $66.92 | |
Cigna
| Professional | $37.64 | $37.64 | $278.16 | |
United
| Professional | $25.09 | $34.19 | $51.11 |