| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.35 | $10.35 | $17.50 | |
Aetna
| Professional | $10.35 | $16.87 | $16.87 | |
CareSource
| Facility | $11.43 | $11.80 | $20.65 | |
Cigna
| Facility | $30.15 | $30.15 | $85.00 | |
Cigna
| Professional | $30.15 | $30.15 | $63.91 | |
United
| Professional | $16.98 | $17.50 | $17.50 |