| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $12.88 | $15.85 | |
CareSource
| Facility | $24.55 | $24.55 | $24.55 | |
CareSource
| Professional | $21.88 | $21.88 | $21.88 | |
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $18.62 | $87.10 | $87.10 | |
United
| Professional | $8.32 | $9.77 | $24.55 |