| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.44 | $17.44 | $17.79 | |
Aetna
| Professional | $17.61 | $17.79 | $24.19 | |
CareSource
| Facility | $17.62 | $26.43 | $26.43 | |
Cigna
| Facility | $16.62 | $17.62 | $85.00 | |
Cigna
| Professional | $17.62 | $17.62 | $315.39 | |
United
| Professional | $17.50 | $17.62 | $30.43 |