| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.68 | $20.68 | $22.07 | |
Aetna
| Professional | $16.32 | $22.07 | $24.27 | |
CareSource
| Facility | $22.07 | $33.11 | $33.11 | |
CareSource
| Professional | $35.40 | $51.16 | $51.16 | |
Cigna
| Facility | $21.82 | $21.82 | $85.00 | |
Cigna
| Professional | $21.82 | $21.82 | $36.06 | |
United
| Professional | $19.72 | $23.98 | $25.18 |