| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.96 | $27.38 | $32.85 | |
Aetna
| Professional | $16.43 | $17.73 | $17.96 | |
CareSource
| Facility | $24.09 | $29.57 | $32.85 | |
CareSource
| Professional | $26.28 | $26.28 | $29.57 | |
Cigna
| Facility | $17.80 | $50.00 | $65.72 | |
Cigna
| Professional | $10.00 | $31.49 | $105.56 | |
United
| Professional | $7.81 | $10.35 | $24.65 |