| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.36 | $15.36 | $65.66 | |
Aetna
| Professional | $15.36 | $17.21 | $18.82 | |
CareSource
| Facility | $30.62 | $41.76 | $48.72 | |
CareSource
| Professional | $18.10 | $33.40 | $64.55 | |
Cigna
| Facility | $32.63 | $32.63 | $32.63 | |
Cigna
| Professional | $14.22 | $14.22 | $134.91 | |
United
| Professional | $13.60 | $15.05 | $27.84 |