| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.55 | $16.55 | $16.55 | |
Aetna
| Professional | $9.86 | $16.55 | $20.67 | |
CareSource
| Facility | $16.14 | $19.82 | $25.69 | |
Cigna
| Facility | $0.66 | $2.02 | $42.26 | |
Cigna
| Professional | $7.13 | $16.91 | $79.53 | |
United
| Professional | $6.03 | $8.50 | $19.48 |