| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $56.23 | $70.79 | |
CareSource
| Facility | $91.20 | $91.20 | $91.20 | |
CareSource
| Professional | $81.28 | $81.28 | $81.28 | |
Cigna
| Professional | $29.51 | $29.51 | $338.84 | |
United
| Professional | $30.20 | $38.90 | $51.29 |