| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.02 | $11.02 | $98.00 | |
Aetna
| Professional | $8.10 | $11.02 | $14.40 | |
CareSource
| Facility | $12.83 | $13.26 | $14.11 | |
Cigna
| Professional | $8.99 | $15.86 | $105.33 | |
United
| Professional | $20.44 | $20.44 | $21.05 |