| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.22 | $20.43 | $20.43 | |
CareSource
| Facility | $28.84 | $36.04 | $42.05 | |
CareSource
| Professional | $28.84 | $28.84 | $32.44 | |
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $18.23 | $19.72 | $115.82 | |
United
| Professional | $8.86 | $16.23 | $33.64 |