| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.85 | $28.14 | $30.92 | |
Aetna
| Professional | $25.59 | $25.59 | $28.14 | |
CareSource
| Facility | $25.59 | $38.39 | $38.39 | |
Cigna
| Facility | $24.14 | $25.59 | $85.00 | |
Cigna
| Professional | $25.59 | $25.59 | $48.84 | |
United
| Professional | $25.59 | $25.59 | $35.81 |