| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.98 | $27.72 | $31.12 | |
CareSource
| Facility | $41.10 | $42.96 | $53.31 | |
CareSource
| Professional | $35.54 | $41.12 | $82.40 | |
Cigna
| Facility | $45.91 | $45.91 | $45.91 | |
Cigna
| Professional | $16.45 | $16.45 | $16.45 | |
United
| Professional | $16.62 | $17.73 | $38.67 |