| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $36.31 | $36.31 | |
Aetna
| Professional | $15.85 | $19.05 | $26.92 | |
CareSource
| Facility | $25.12 | $32.36 | $39.81 | |
CareSource
| Professional | $15.49 | $28.84 | $32.36 | |
Cigna
| Facility | $19.95 | $38.90 | $72.44 | |
Cigna
| Professional | $10.00 | $114.82 | $114.82 | |
United
| Facility | $14.45 | $14.45 | $14.45 | |
United
| Professional | $7.76 | $10.72 | $22.39 |