| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.95 | $20.95 | $21.24 | |
Aetna
| Professional | $12.75 | $14.70 | $20.95 | |
CareSource
| Facility | $20.14 | $22.15 | $30.42 | |
CareSource
| Professional | $20.14 | $25.65 | $46.69 | |
Cigna
| Facility | $23.81 | $23.81 | $23.81 | |
Cigna
| Professional | $16.34 | $28.20 | $99.77 | |
United
| Professional | $16.55 | $26.94 | $39.22 |