| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.30 | $18.75 | $22.50 | |
Aetna
| Professional | $11.25 | $12.15 | $12.30 | |
CareSource
| Facility | $16.50 | $20.25 | $22.50 | |
CareSource
| Professional | $18.00 | $18.00 | $20.25 | |
Cigna
| Facility | $12.19 | $25.75 | $45.00 | |
Cigna
| Professional | $6.76 | $21.17 | $78.94 | |
United
| Professional | $6.46 | $7.36 | $21.71 |