| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $22.91 | |
Aetna
| Professional | $15.85 | $22.91 | $30.20 | |
CareSource
| Facility | $15.85 | $15.85 | $19.05 | |
CareSource
| Professional | $16.60 | $16.60 | $16.60 | |
Cigna
| Facility | $25.12 | $25.12 | $25.12 | |
Cigna
| Professional | $14.45 | $30.90 | $199.53 | |
United
| Professional | $13.49 | $22.39 | $37.15 |