| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.75 | $33.75 | $33.75 | |
CareSource
| Facility | $39.90 | $43.89 | $63.84 | |
CareSource
| Professional | $39.90 | $43.89 | $61.45 | |
Cigna
| Facility | $45.89 | $45.89 | $45.89 | |
Cigna
| Professional | $192.32 | $192.32 | $192.32 | |
United
| Professional | $31.31 | $34.59 | $50.24 |