| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.89 | $21.89 | $21.89 | |
Aetna
| Professional | $20.85 | $21.89 | $25.45 | |
CareSource
| Facility | $25.79 | $53.57 | $69.44 | |
CareSource
| Professional | $25.79 | $27.78 | $47.62 | |
Cigna
| Facility | $19.37 | $19.37 | $46.50 | |
Cigna
| Professional | $16.19 | $19.37 | $28.04 | |
United
| Professional | $14.48 | $19.79 | $29.65 |