| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.70 | $20.70 | $20.70 | |
Aetna
| Professional | $9.86 | $20.70 | $25.92 | |
CareSource
| Facility | $19.95 | $24.49 | $31.75 | |
Cigna
| Facility | $0.83 | $2.54 | $52.98 | |
Cigna
| Professional | $8.82 | $16.91 | $98.23 | |
United
| Professional | $6.03 | $9.15 | $19.48 |