| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.70 | $41.41 | $50.58 | |
CareSource
| Facility | $63.48 | $69.31 | $83.70 | |
CareSource
| Professional | $56.42 | $63.54 | $133.93 | |
Cigna
| Facility | $61.43 | $61.43 | $61.43 | |
Cigna
| Professional | $22.57 | $22.57 | $22.57 | |
United
| Professional | $23.46 | $28.82 | $48.21 |