| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.47 | $22.76 | $25.59 | |
CareSource
| Facility | $2.66 | $21.38 | $30.27 | |
CareSource
| Professional | $2.65 | $21.38 | $30.71 | |
Cigna
| Facility | $24.94 | $24.94 | $44.18 | |
Cigna
| Professional | $24.94 | $24.94 | $29.73 | |
United
| Professional | $17.88 | $22.04 | $36.43 |