| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.73 | $19.23 | $20.44 | |
CareSource
| Facility | $2.04 | $18.64 | $24.89 | |
CareSource
| Professional | $2.18 | $17.07 | $23.74 | |
Cigna
| Facility | $21.85 | $21.85 | $38.22 | |
Cigna
| Professional | $21.85 | $22.81 | $28.68 | |
United
| Professional | $14.92 | $18.04 | $26.43 |