| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.73 | $30.08 | $36.09 | |
Aetna
| Professional | $18.05 | $19.48 | $19.73 | |
CareSource
| Facility | $24.06 | $32.47 | $39.70 | |
CareSource
| Professional | $24.06 | $30.08 | $32.47 | |
Cigna
| Facility | $19.55 | $37.86 | $72.18 | |
Cigna
| Professional | $10.00 | $34.59 | $115.97 | |
United
| Professional | $7.81 | $10.83 | $29.53 |