| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.40 | $22.40 | $22.40 | |
Aetna
| Professional | $13.15 | $22.40 | $28.08 | |
CareSource
| Facility | $19.97 | $24.96 | $34.27 | |
Cigna
| Facility | $0.89 | $2.72 | $57.40 | |
Cigna
| Professional | $9.09 | $22.95 | $106.04 | |
United
| Professional | $7.86 | $11.54 | $30.23 |