| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.39 | $16.39 | $16.68 | |
Aetna
| Professional | $16.52 | $16.55 | $18.34 | |
CareSource
| Facility | $16.52 | $24.78 | $24.78 | |
Cigna
| Facility | $15.58 | $16.52 | $17.64 | |
Cigna
| Professional | $16.52 | $16.52 | $28.22 | |
United
| Professional | $16.52 | $16.52 | $22.13 |