| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.53 | $19.53 | $27.18 | |
Aetna
| Professional | $19.53 | $27.18 | $29.77 | |
CareSource
| Facility | $19.68 | $23.61 | $31.61 | |
CareSource
| Professional | $20.99 | $20.99 | $20.99 | |
Cigna
| Facility | $31.56 | $31.56 | $31.56 | |
Cigna
| Professional | $21.26 | $35.02 | $85.75 | |
United
| Professional | $20.71 | $36.25 | $43.79 |