| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.75 | $15.94 | $17.71 | |
CareSource
| Facility | $1.89 | $14.36 | $21.20 | |
CareSource
| Professional | $1.86 | $15.46 | $20.61 | |
Cigna
| Facility | $17.30 | $17.30 | $30.88 | |
Cigna
| Professional | $17.30 | $20.83 | $127.87 | |
United
| Professional | $10.33 | $14.40 | $22.11 |