| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.12 | $13.29 | $13.42 | |
Aetna
| Professional | $12.99 | $13.12 | $14.43 | |
CareSource
| Facility | $12.99 | $19.48 | $19.48 | |
Cigna
| Facility | $12.26 | $12.99 | $16.63 | |
Cigna
| Professional | $12.99 | $12.99 | $24.30 | |
United
| Professional | $12.99 | $12.99 | $20.78 |