| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.00 | $16.00 | $55.27 | |
Aetna
| Professional | $13.28 | $90.09 | $90.09 | |
CareSource
| Facility | $61.06 | $63.05 | $110.34 | |
Cigna
| Facility | $14.00 | $14.00 | $85.00 | |
Cigna
| Professional | $14.00 | $14.00 | $341.45 | |
United
| Professional | $15.52 | $16.00 | $16.00 |