| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.91 | $19.91 | $19.91 | |
Aetna
| Professional | $19.27 | $22.13 | $24.40 | |
CareSource
| Facility | $21.69 | $48.74 | $63.18 | |
CareSource
| Professional | $23.47 | $43.32 | $83.71 | |
Cigna
| Facility | $42.30 | $42.30 | $42.30 | |
Cigna
| Professional | $14.73 | $14.73 | $174.00 | |
United
| Professional | $16.93 | $18.23 | $37.72 |