| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $19.05 | $23.99 | |
CareSource
| Facility | $18.62 | $18.62 | $21.88 | |
CareSource
| Professional | $19.50 | $19.50 | $19.50 | |
Cigna
| Facility | $20.89 | $20.89 | $29.51 | |
Cigna
| Professional | $14.13 | $20.42 | $77.62 | |
United
| Professional | $13.18 | $16.60 | $26.92 |