| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.10 | $18.26 | $20.07 | |
Aetna
| Professional | $18.07 | $18.26 | $20.07 | |
CareSource
| Facility | $18.07 | $27.12 | $27.12 | |
Cigna
| Facility | $17.05 | $18.07 | $18.14 | |
Cigna
| Professional | $18.07 | $18.07 | $32.70 | |
United
| Professional | $11.75 | $18.07 | $21.87 |