| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.73 | $25.06 | $27.74 | |
CareSource
| Facility | $2.96 | $22.27 | $33.33 | |
CareSource
| Professional | $2.92 | $23.98 | $31.96 | |
Cigna
| Facility | $27.09 | $27.09 | $48.53 | |
Cigna
| Professional | $27.09 | $30.07 | $35.54 | |
United
| Professional | $16.04 | $22.44 | $34.29 |