| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.91 | $13.35 | $14.89 | |
CareSource
| Facility | $1.62 | $12.19 | $17.75 | |
CareSource
| Professional | $1.55 | $13.13 | $18.76 | |
Cigna
| Facility | $14.57 | $14.57 | $25.86 | |
Cigna
| Professional | $14.57 | $14.57 | $17.44 | |
United
| Professional | $10.19 | $13.31 | $21.81 |