| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.49 | $14.14 | $19.12 | |
CareSource
| Facility | $13.30 | $14.81 | $19.95 | |
CareSource
| Professional | $14.14 | $15.55 | $32.78 | |
Cigna
| Facility | $23.17 | $23.17 | $23.17 | |
Cigna
| Professional | $11.60 | $16.22 | $28.72 | |
United
| Professional | $11.31 | $14.26 | $26.35 |