| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.12 | $12.43 | $14.09 | |
CareSource
| Facility | $1.61 | $12.03 | $16.52 | |
CareSource
| Professional | $1.45 | $12.96 | $17.75 | |
Cigna
| Facility | $13.81 | $13.81 | $24.86 | |
Cigna
| Professional | $13.81 | $13.81 | $16.39 | |
United
| Professional | $10.07 | $12.39 | $20.50 |