| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.64 | $27.64 | $28.08 | |
Aetna
| Professional | $26.99 | $27.64 | $27.64 | |
CareSource
| Facility | $17.84 | $18.43 | $32.25 | |
Cigna
| Facility | $27.64 | $27.64 | $85.00 | |
Cigna
| Professional | $27.64 | $27.64 | $39.14 | |
United
| Professional | $27.10 | $27.10 | $32.19 |