| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.17 | $26.18 | $31.41 | |
Aetna
| Professional | $15.71 | $16.96 | $17.17 | |
CareSource
| Facility | $23.03 | $28.27 | $31.41 | |
CareSource
| Professional | $25.13 | $25.13 | $28.27 | |
Cigna
| Facility | $17.01 | $50.00 | $62.81 | |
Cigna
| Professional | $10.70 | $30.46 | $100.93 | |
United
| Professional | $8.78 | $10.21 | $26.31 |