| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.81 | $28.81 | $31.35 | |
Aetna
| Professional | $29.50 | $30.61 | $31.35 | |
CareSource
| Facility | $10.87 | $11.23 | $19.64 | |
CareSource
| Professional | $10.87 | $10.87 | $11.23 | |
Cigna
| Facility | $31.35 | $85.00 | $85.00 | |
Cigna
| Professional | $31.35 | $31.35 | $31.35 | |
United
| Professional | $30.73 | $34.11 | $36.88 |