| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.52 | $42.29 | $48.69 | |
CareSource
| Facility | $62.69 | $66.73 | $85.49 | |
CareSource
| Professional | $55.61 | $68.73 | $128.94 | |
Cigna
| Facility | $67.13 | $67.13 | $67.13 | |
Cigna
| Professional | $24.43 | $24.43 | $24.43 | |
United
| Professional | $25.69 | $27.74 | $46.45 |