| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.35 | $14.35 | $57.60 | |
Aetna
| Professional | $13.05 | $13.53 | $14.21 | |
CareSource
| Facility | $21.83 | $27.29 | $31.83 | |
CareSource
| Professional | $21.83 | $21.83 | $24.56 | |
Cigna
| Facility | $24.64 | $24.64 | $24.64 | |
Cigna
| Professional | $7.97 | $7.97 | $7.97 | |
United
| Professional | $6.20 | $6.80 | $20.82 |