| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.84 | $48.29 | $54.11 | |
CareSource
| Facility | $5.98 | $44.79 | $64.23 | |
CareSource
| Professional | $5.62 | $48.23 | $64.31 | |
Cigna
| Facility | $46.80 | $46.80 | $93.54 | |
Cigna
| Professional | $46.80 | $46.80 | $63.10 | |
United
| Professional | $33.54 | $44.57 | $69.05 |