| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.50 | $13.19 | $29.39 | |
Aetna
| Professional | $11.50 | $13.06 | $13.19 | |
CareSource
| Facility | $13.06 | $19.59 | $19.59 | |
Cigna
| Facility | $12.32 | $13.06 | $85.00 | |
Cigna
| Professional | $13.06 | $13.06 | $63.84 | |
United
| Professional | $12.67 | $13.06 | $33.00 |