| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $16.98 | $22.91 | |
CareSource
| Facility | $2.14 | $16.98 | $21.88 | |
CareSource
| Professional | $2.29 | $18.20 | $23.99 | |
Cigna
| Facility | $22.91 | $22.91 | $29.51 | |
Cigna
| Professional | $22.91 | $25.70 | $29.51 | |
United
| Facility | $2.09 | $15.49 | $24.55 | |
United
| Professional | $14.45 | $17.78 | $25.70 |