| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.36 | $16.36 | $20.52 | |
Aetna
| Professional | $16.20 | $16.20 | $16.36 | |
CareSource
| Facility | $16.20 | $24.30 | $24.30 | |
Cigna
| Facility | $15.28 | $16.20 | $85.00 | |
Cigna
| Professional | $16.20 | $16.20 | $31.08 | |
United
| Professional | $16.20 | $16.20 | $23.65 |