| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.60 | $55.51 | $55.51 | |
Aetna
| Professional | $16.22 | $16.38 | $17.03 | |
CareSource
| Facility | $12.98 | $16.22 | $24.33 | |
CareSource
| Professional | $10.54 | $11.35 | $16.22 | |
Cigna
| Facility | $15.30 | $16.22 | $85.00 | |
Cigna
| Professional | $16.22 | $16.22 | $90.35 | |
United
| Professional | $6.49 | $16.22 | $105.83 |