| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $20.89 | $25.12 | |
CareSource
| Facility | $2.40 | $20.89 | $27.54 | |
CareSource
| Professional | $2.57 | $22.39 | $30.20 | |
Cigna
| Facility | $25.70 | $25.70 | $33.88 | |
Cigna
| Professional | $25.70 | $26.92 | $33.88 | |
United
| Facility | $2.40 | $17.78 | $28.18 | |
United
| Professional | $18.20 | $20.89 | $38.02 |