| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.90 | $13.90 | $13.90 | |
Aetna
| Professional | $13.13 | $13.79 | $14.48 | |
CareSource
| Facility | $16.38 | $33.36 | $44.10 | |
CareSource
| Professional | $16.38 | $17.64 | $29.65 | |
Cigna
| Facility | $12.09 | $15.15 | $28.96 | |
Cigna
| Professional | $12.09 | $15.15 | $116.45 | |
United
| Professional | $9.19 | $12.58 | $17.82 |