| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.93 | $19.30 | $22.91 | |
CareSource
| Facility | $19.84 | $21.47 | $31.31 | |
CareSource
| Professional | $20.80 | $22.53 | $26.62 | |
Cigna
| Facility | $18.62 | $21.50 | $30.26 | |
Cigna
| Professional | $15.85 | $21.82 | $68.53 | |
United
| Professional | $11.16 | $17.38 | $31.74 |