| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.14 | $19.53 | $21.43 | |
CareSource
| Facility | $2.24 | $16.77 | $25.98 | |
CareSource
| Professional | $2.27 | $18.05 | $24.07 | |
Cigna
| Facility | $21.27 | $21.27 | $37.84 | |
Cigna
| Professional | $21.27 | $21.27 | $157.13 | |
United
| Professional | $14.56 | $19.10 | $28.54 |