| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.98 | $18.98 | $18.98 | |
Aetna
| Professional | $18.98 | $21.08 | $23.25 | |
CareSource
| Facility | $22.36 | $46.44 | $60.20 | |
CareSource
| Professional | $22.36 | $24.08 | $41.28 | |
Cigna
| Facility | $20.66 | $20.66 | $40.31 | |
Cigna
| Professional | $17.55 | $20.66 | $166.39 | |
United
| Professional | $12.56 | $17.23 | $28.60 |