| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $29.51 | $29.51 | |
Aetna
| Professional | $12.88 | $16.98 | $44.67 | |
CareSource
| Facility | $22.91 | $22.91 | $26.30 | |
CareSource
| Professional | $23.44 | $23.44 | $23.44 | |
Cigna
| Facility | $16.22 | $31.62 | $58.88 | |
Cigna
| Professional | $11.22 | $35.48 | $95.50 | |
United
| Facility | $11.75 | $11.75 | $11.75 | |
United
| Professional | $8.32 | $11.48 | $26.92 |