| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.27 | $131.27 | $131.27 | |
Aetna
| Professional | $8.93 | $10.01 | $10.94 | |
CareSource
| Facility | $9.72 | $21.86 | $28.33 | |
CareSource
| Professional | $10.52 | $19.43 | $37.53 | |
Cigna
| Facility | $18.97 | $18.97 | $18.97 | |
Cigna
| Professional | $6.60 | $6.60 | $78.04 | |
United
| Professional | $7.59 | $8.08 | $16.92 |