| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.41 | $19.41 | $19.41 | |
Aetna
| Professional | $17.53 | $19.41 | $26.47 | |
CareSource
| Facility | $19.82 | $21.84 | $23.79 | |
CareSource
| Professional | $10.76 | $20.02 | $21.14 | |
Cigna
| Facility | $21.32 | $21.32 | $21.32 | |
Cigna
| Professional | $17.96 | $25.99 | $89.05 | |
United
| Professional | $14.48 | $26.93 | $49.23 |