| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.38 | $12.38 | $12.38 | |
Aetna
| Professional | $12.38 | $12.38 | $15.84 | |
CareSource
| Facility | $19.29 | $34.07 | $44.17 | |
CareSource
| Professional | $16.41 | $20.78 | $35.61 | |
Cigna
| Facility | $16.89 | $16.89 | $34.78 | |
Cigna
| Professional | $12.34 | $16.89 | $138.72 | |
United
| Professional | $12.59 | $17.59 | $20.98 |