| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.03 | $36.68 | $40.04 | |
CareSource
| Facility | $4.15 | $30.88 | $48.78 | |
CareSource
| Professional | $4.26 | $33.25 | $44.92 | |
Cigna
| Facility | $39.90 | $39.90 | $71.05 | |
Cigna
| Professional | $39.90 | $39.90 | $47.93 | |
United
| Professional | $25.82 | $35.18 | $55.24 |