| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.68 | $13.94 | $13.94 | |
Aetna
| Professional | $12.68 | $14.20 | $15.53 | |
CareSource
| Facility | $22.98 | $31.02 | $37.92 | |
CareSource
| Professional | $22.98 | $53.28 | $53.28 | |
Cigna
| Facility | $26.93 | $26.93 | $26.93 | |
Cigna
| Professional | $11.73 | $11.73 | $111.39 | |
United
| Professional | $11.22 | $11.51 | $21.37 |