| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.24 | $13.24 | $13.24 | |
Aetna
| Professional | $13.24 | $14.71 | $16.22 | |
CareSource
| Facility | $15.59 | $32.39 | $41.98 | |
CareSource
| Professional | $15.59 | $16.79 | $28.79 | |
Cigna
| Facility | $15.93 | $15.93 | $28.12 | |
Cigna
| Professional | $9.78 | $13.54 | $116.07 | |
United
| Professional | $8.76 | $12.03 | $22.33 |