| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.84 | $24.53 | $37.45 | |
Aetna
| Professional | $23.61 | $23.83 | $24.53 | |
CareSource
| Facility | $23.61 | $35.42 | $35.42 | |
Cigna
| Facility | $22.27 | $23.61 | $85.00 | |
Cigna
| Professional | $23.61 | $23.61 | $57.62 | |
United
| Professional | $23.61 | $23.61 | $43.57 |