| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.13 | $23.13 | $23.13 | |
Aetna
| Professional | $13.85 | $23.13 | $29.00 | |
CareSource
| Facility | $22.48 | $27.59 | $35.77 | |
Cigna
| Facility | $0.92 | $2.82 | $59.30 | |
Cigna
| Professional | $9.92 | $24.53 | $110.72 | |
United
| Professional | $7.30 | $11.85 | $28.22 |