| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.28 | $40.21 | $43.69 | |
CareSource
| Facility | $4.43 | $33.25 | $53.48 | |
CareSource
| Professional | $4.68 | $35.81 | $48.42 | |
Cigna
| Facility | $44.42 | $44.42 | $77.98 | |
Cigna
| Professional | $44.42 | $44.42 | $52.54 | |
United
| Professional | $27.79 | $36.39 | $56.62 |