| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.84 | $14.84 | $16.30 | |
Aetna
| Professional | $16.30 | $16.30 | $17.93 | |
CareSource
| Facility | $10.87 | $11.23 | $16.85 | |
Cigna
| Facility | $13.99 | $13.99 | $60.00 | |
Cigna
| Professional | $13.99 | $13.99 | $60.83 | |
United
| Professional | $13.38 | $13.38 | $17.07 |