| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.55 | $25.25 | $30.30 | |
Aetna
| Professional | $15.15 | $16.36 | $16.55 | |
CareSource
| Facility | $22.22 | $27.27 | $30.30 | |
CareSource
| Professional | $24.24 | $24.24 | $27.27 | |
Cigna
| Facility | $16.41 | $38.53 | $60.59 | |
Cigna
| Professional | $11.55 | $28.91 | $130.37 | |
United
| Professional | $8.48 | $12.12 | $39.81 |