| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.06 | $22.95 | $27.54 | |
Aetna
| Professional | $13.77 | $14.87 | $15.06 | |
CareSource
| Facility | $20.20 | $24.79 | $27.54 | |
CareSource
| Professional | $22.03 | $22.03 | $24.79 | |
Cigna
| Facility | $14.91 | $42.08 | $55.06 | |
Cigna
| Professional | $9.30 | $26.33 | $104.67 | |
United
| Professional | $8.26 | $10.07 | $29.38 |