| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.91 | $21.91 | $21.91 | |
Aetna
| Professional | $13.54 | $15.63 | $17.98 | |
CareSource
| Facility | $20.79 | $22.87 | $31.40 | |
CareSource
| Professional | $21.07 | $26.84 | $48.84 | |
Cigna
| Facility | $36.26 | $36.26 | $36.26 | |
Cigna
| Professional | $17.11 | $31.60 | $104.45 | |
United
| Professional | $16.98 | $25.33 | $40.99 |