| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.47 | $39.47 | $39.47 | |
Aetna
| Professional | $7.81 | $12.06 | $13.30 | |
CareSource
| Facility | $11.82 | $26.57 | $34.44 | |
CareSource
| Professional | $12.79 | $23.62 | $45.63 | |
Cigna
| Facility | $23.06 | $23.06 | $23.06 | |
Cigna
| Professional | $8.02 | $8.02 | $94.86 | |
United
| Professional | $9.23 | $10.82 | $19.68 |