| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.77 | $95.88 | $95.88 | |
Aetna
| Professional | $7.53 | $12.20 | $21.51 | |
CareSource
| Facility | $8.61 | $8.61 | $10.26 | |
CareSource
| Professional | $9.11 | $9.11 | $9.11 | |
Cigna
| Facility | $13.13 | $13.13 | $13.13 | |
Cigna
| Professional | $8.52 | $20.90 | $37.40 | |
United
| Professional | $15.59 | $21.09 | $34.10 |