| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.96 | $17.07 | $22.65 | |
CareSource
| Facility | $18.55 | $20.28 | $22.10 | |
CareSource
| Professional | $10.16 | $18.59 | $19.64 | |
Cigna
| Facility | $19.97 | $19.97 | $19.97 | |
Cigna
| Professional | $14.89 | $21.24 | $37.93 | |
United
| Professional | $13.98 | $19.36 | $30.12 |