| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.72 | $12.45 | $12.45 | |
CareSource
| Facility | $17.57 | $21.98 | $25.64 | |
CareSource
| Professional | $17.57 | $17.57 | $19.78 | |
Cigna
| Facility | $23.77 | $23.77 | $23.77 | |
Cigna
| Professional | $10.49 | $11.34 | $70.61 | |
United
| Professional | $5.01 | $9.21 | $19.64 |