| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.40 | $13.40 | $13.40 | |
Aetna
| Professional | $10.62 | $12.83 | $13.40 | |
CareSource
| Facility | $16.87 | $30.87 | $45.41 | |
CareSource
| Professional | $13.77 | $18.17 | $23.60 | |
Cigna
| Facility | $13.34 | $13.34 | $25.00 | |
Cigna
| Professional | $9.74 | $13.34 | $104.79 | |
United
| Professional | $9.73 | $12.95 | $21.68 |