| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.32 | $18.32 | $18.32 | |
Aetna
| Professional | $18.32 | $20.54 | $22.46 | |
CareSource
| Facility | $36.54 | $49.85 | $58.15 | |
CareSource
| Professional | $21.60 | $39.88 | $77.04 | |
Cigna
| Facility | $38.94 | $38.94 | $38.94 | |
Cigna
| Professional | $13.56 | $18.01 | $18.01 | |
United
| Professional | $16.23 | $17.96 | $33.22 |