| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.47 | $16.55 | $22.22 | |
CareSource
| Facility | $18.18 | $19.88 | $21.65 | |
CareSource
| Professional | $9.96 | $18.23 | $19.25 | |
Cigna
| Facility | $19.55 | $19.55 | $19.55 | |
Cigna
| Professional | $14.12 | $19.25 | $33.81 | |
United
| Professional | $11.03 | $15.92 | $23.97 |