| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.36 | $19.36 | $22.78 | |
Aetna
| Professional | $19.35 | $19.36 | $22.26 | |
CareSource
| Facility | $29.21 | $44,999.55 | $59,999.40 | |
CareSource
| Professional | $35,999.64 | $35,999.64 | $41,999.58 | |
Cigna
| Facility | $21.40 | $21.40 | $85.00 | |
Cigna
| Professional | $21.40 | $21.40 | $28.93 | |
United
| Professional | $22.78 | $22.78 | $22.78 |