| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $25.70 | $25.70 | |
Aetna
| Professional | $10.96 | $12.88 | $19.05 | |
CareSource
| Facility | $23.44 | $23.44 | $23.44 | |
CareSource
| Professional | $20.89 | $20.89 | $20.89 | |
Cigna
| Facility | $14.45 | $27.54 | $51.29 | |
Cigna
| Professional | $19.95 | $83.18 | $83.18 | |
United
| Facility | $10.47 | $10.47 | $10.47 | |
United
| Professional | $7.24 | $7.76 | $17.38 |