| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.32 | $18.39 | $18.57 | |
Aetna
| Professional | $18.14 | $18.14 | $18.57 | |
CareSource
| Facility | $18.14 | $27.23 | $27.23 | |
Cigna
| Facility | $17.12 | $18.14 | $85.00 | |
Cigna
| Professional | $18.14 | $18.14 | $32.52 | |
United
| Professional | $11.80 | $18.14 | $29.42 |