| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $30.20 | $30.20 | |
Aetna
| Professional | $12.88 | $15.85 | $22.91 | |
CareSource
| Facility | $27.54 | $27.54 | $27.54 | |
CareSource
| Professional | $23.99 | $23.99 | $23.99 | |
Cigna
| Facility | $16.98 | $38.90 | $60.26 | |
Cigna
| Professional | $11.48 | $134.90 | $134.90 | |
United
| Facility | $12.02 | $12.02 | $12.02 | |
United
| Professional | $8.51 | $11.75 | $27.54 |