| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $18.11 | $19.05 | |
Aetna
| Professional | $18.29 | $18.86 | $19.05 | |
CareSource
| Facility | $18.86 | $28.29 | $28.29 | |
Cigna
| Facility | $17.79 | $18.13 | $18.86 | |
Cigna
| Professional | $18.86 | $18.86 | $34.15 | |
United
| Professional | $18.86 | $18.86 | $22.24 |