| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $20.89 | $22.91 | |
Aetna
| Professional | $20.89 | $25.12 | $41.69 | |
CareSource
| Facility | $24.55 | $24.55 | $28.84 | |
CareSource
| Professional | $25.70 | $25.70 | $25.70 | |
Cigna
| Facility | $37.15 | $37.15 | $37.15 | |
Cigna
| Professional | $21.88 | $30.90 | $114.82 | |
United
| Professional | $18.62 | $26.30 | $38.90 |