| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.04 | $3.04 | $26.47 | |
CareSource
| Facility | $24.00 | $24.00 | $24.00 | |
CareSource
| Professional | $10.40 | $10.40 | $10.40 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
United
| Professional | $11.52 | $17.60 | $25.60 |