| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.89 | $17.89 | $1,132.66 | |
Aetna
| Professional | $14.53 | $16.27 | $18.67 | |
CareSource
| Facility | $22.03 | $42.53 | $55.13 | |
CareSource
| Professional | $20.48 | $23.72 | $40.67 | |
Cigna
| Facility | $22.18 | $31.55 | $39.72 | |
Cigna
| Professional | $16.19 | $22.18 | $165.37 | |
United
| Professional | $12.50 | $16.09 | $26.19 |