| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.53 | $12.23 | $13.16 | |
CareSource
| Facility | $1.31 | $12.01 | $16.04 | |
CareSource
| Professional | $1.41 | $10.52 | $14.23 | |
Cigna
| Facility | $13.24 | $13.24 | $23.48 | |
Cigna
| Professional | $13.24 | $13.24 | $15.97 | |
United
| Professional | $8.17 | $11.37 | $16.64 |