| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.70 | $21.70 | $23.48 | |
Aetna
| Professional | $21.06 | $24.31 | $50.65 | |
CareSource
| Facility | $18.32 | $24.44 | $39.96 | |
CareSource
| Professional | $25.80 | $25.80 | $25.80 | |
Cigna
| Facility | $37.28 | $37.28 | $37.28 | |
Cigna
| Professional | $22.45 | $30.38 | $98.79 | |
United
| Professional | $19.19 | $27.45 | $39.36 |