| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.92 | $19.48 | $21.15 | |
CareSource
| Facility | $2.15 | $16.05 | $25.91 | |
CareSource
| Professional | $2.27 | $17.28 | $26.65 | |
Cigna
| Facility | $21.16 | $21.16 | $37.74 | |
Cigna
| Professional | $21.16 | $21.16 | $25.46 | |
United
| Professional | $13.96 | $18.30 | $27.36 |