| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.86 | $16.86 | $16.86 | |
Aetna
| Professional | $16.86 | $18.66 | $24.88 | |
CareSource
| Facility | $19.89 | $26.82 | $31.29 | |
CareSource
| Professional | $17.88 | $19.67 | $20.77 | |
Cigna
| Facility | $22.69 | $22.69 | $22.69 | |
Cigna
| Professional | $17.96 | $23.06 | $39.64 | |
United
| Professional | $14.08 | $20.23 | $34.26 |