| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.74 | $61.08 | $61.08 | |
Aetna
| Professional | $24.50 | $24.73 | $27.21 | |
CareSource
| Facility | $24.50 | $36.75 | $36.75 | |
Cigna
| Facility | $23.11 | $24.50 | $85.00 | |
Cigna
| Professional | $24.50 | $24.50 | $35.97 | |
United
| Professional | $21.72 | $24.50 | $24.50 |