| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.71 | $18.22 | $33.19 | |
Aetna
| Professional | $16.54 | $16.54 | $18.22 | |
CareSource
| Facility | $16.54 | $24.81 | $24.81 | |
Cigna
| Facility | $15.60 | $16.54 | $85.00 | |
Cigna
| Professional | $16.54 | $16.54 | $30.74 | |
United
| Professional | $16.54 | $16.54 | $35.38 |