| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.66 | $32.90 | $66.75 | |
Aetna
| Professional | $14.82 | $17.20 | $39.26 | |
CareSource
| Facility | $15.63 | $18.76 | $20.44 | |
CareSource
| Professional | $18.17 | $18.17 | $18.17 | |
Cigna
| Facility | $27.25 | $27.25 | $27.25 | |
Cigna
| Professional | $14.58 | $21.00 | $49.93 | |
United
| Professional | $14.65 | $21.79 | $29.70 |