| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $34.67 | |
Aetna
| Professional | $15.14 | $22.91 | $40.74 | |
CareSource
| Facility | $18.62 | $18.62 | $22.91 | |
CareSource
| Professional | $20.42 | $20.42 | $20.42 | |
Cigna
| Facility | $28.18 | $28.18 | $28.18 | |
Cigna
| Professional | $17.38 | $39.81 | $186.21 | |
United
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Professional | $14.45 | $25.12 | $43.65 |