| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.23 | $22.16 | $26.30 | |
CareSource
| Facility | $30.37 | $34.17 | $37.97 | |
CareSource
| Professional | $25.31 | $30.37 | $58.68 | |
Cigna
| Facility | $31.42 | $31.42 | $31.42 | |
Cigna
| Professional | $12.15 | $12.15 | $12.15 | |
United
| Professional | $11.84 | $12.62 | $27.55 |