| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.29 | $18.29 | $18.48 | |
Aetna
| Professional | $18.16 | $18.16 | $18.48 | |
CareSource
| Facility | $18.16 | $27.24 | $27.24 | |
Cigna
| Facility | $17.13 | $18.16 | $85.00 | |
Cigna
| Professional | $18.16 | $18.16 | $33.26 | |
United
| Professional | $18.16 | $18.16 | $22.72 |