| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $19.95 | $25.12 | |
CareSource
| Facility | $19.95 | $19.95 | $23.44 | |
CareSource
| Professional | $20.89 | $20.89 | $20.89 | |
Cigna
| Facility | $18.62 | $18.62 | $21.38 | |
Cigna
| Professional | $14.79 | $21.38 | $79.43 | |
United
| Professional | $11.22 | $15.85 | $22.39 |