| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.79 | $23.18 | $42.41 | |
Aetna
| Professional | $21.20 | $23.18 | $32.63 | |
CareSource
| Facility | $31.10 | $38.15 | $42.41 | |
CareSource
| Professional | $33.92 | $33.92 | $38.15 | |
Cigna
| Facility | $22.98 | $33.92 | $84.82 | |
Cigna
| Professional | $14.86 | $14.86 | $136.26 | |
United
| Professional | $11.87 | $14.66 | $34.90 |