| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.42 | $51.65 | $60.01 | |
CareSource
| Facility | $6.87 | $54.26 | $72.38 | |
CareSource
| Professional | $6.01 | $55.81 | $77.95 | |
Cigna
| Facility | $55.97 | $55.97 | $112.10 | |
Cigna
| Professional | $55.97 | $67.48 | $73.50 | |
United
| Professional | $42.88 | $50.42 | $92.44 |