| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.05 | $13.53 | $14.21 | |
CareSource
| Facility | $21.83 | $27.29 | $31.83 | |
CareSource
| Professional | $21.83 | $21.83 | $24.56 | |
Cigna
| Facility | $24.64 | $24.64 | $24.64 | |
Cigna
| Professional | $18.23 | $19.72 | $87.68 | |
United
| Professional | $8.32 | $11.57 | $29.10 |