| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $30.20 | $38.02 | |
CareSource
| Facility | $3.72 | $30.20 | $39.81 | |
CareSource
| Professional | $3.98 | $32.36 | $42.66 | |
Cigna
| Facility | $13.80 | $45.71 | $93.33 | |
Cigna
| Professional | $32.36 | $38.02 | $275.42 | |
United
| Facility | $3.72 | $27.54 | $43.65 | |
United
| Professional | $26.30 | $32.36 | $53.70 |