| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.57 | $18.84 | $21.08 | |
CareSource
| Facility | $2.35 | $17.41 | $25.06 | |
CareSource
| Professional | $2.19 | $18.75 | $24.99 | |
Cigna
| Facility | $20.72 | $20.72 | $36.52 | |
Cigna
| Professional | $20.72 | $22.61 | $27.20 | |
United
| Professional | $12.55 | $17.35 | $26.83 |