| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.16 | $21.59 | $25.91 | |
Aetna
| Professional | $12.95 | $13.99 | $14.16 | |
CareSource
| Facility | $23.31 | $97.15 | $466.30 | |
CareSource
| Professional | $20.72 | $23.31 | $119,998.80 | |
Cigna
| Facility | $14.04 | $20.72 | $51.83 | |
Cigna
| Professional | $19.82 | $24.78 | $83.24 | |
United
| Professional | $7.25 | $7.77 | $23.31 |