| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $40.74 | $40.74 | |
Aetna
| Professional | $18.20 | $20.89 | $30.90 | |
CareSource
| Facility | $36.31 | $36.31 | $36.31 | |
CareSource
| Professional | $32.36 | $32.36 | $32.36 | |
Cigna
| Facility | $22.39 | $43.65 | $81.28 | |
Cigna
| Professional | $31.62 | $131.83 | $131.83 | |
United
| Facility | $16.22 | $16.22 | $16.22 | |
United
| Professional | $11.48 | $12.30 | $26.92 |