| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $25.70 | $97.72 | |
Aetna
| Professional | $12.02 | $19.95 | $30.90 | |
BCBS
| Professional | $23.44 | $23.44 | $31.62 | |
CareSource
| Facility | $23.99 | $23.99 | $23.99 | |
Cigna
| Facility | $54.95 | $75.86 | $89.13 | |
Cigna
| Professional | $19.05 | $34.67 | $45.71 | |
United
| Facility | $21.88 | $23.99 | $23.99 | |
United
| Professional | $19.50 | $26.30 | $44.67 |