| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.64 | $16.22 | $21.32 | |
CareSource
| Facility | $17.80 | $19.48 | $21.22 | |
CareSource
| Professional | $9.76 | $17.85 | $18.86 | |
Cigna
| Facility | $19.16 | $19.16 | $19.16 | |
Cigna
| Professional | $13.74 | $18.86 | $32.49 | |
United
| Professional | $10.95 | $16.51 | $23.43 |