| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.31 | $11.31 | $11.31 | |
Aetna
| Professional | $11.31 | $13.02 | $17.05 | |
CareSource
| Facility | $12.36 | $27.69 | $35.89 | |
CareSource
| Professional | $13.33 | $24.61 | $47.56 | |
Cigna
| Facility | $24.04 | $24.04 | $24.04 | |
Cigna
| Professional | $8.36 | $8.36 | $98.86 | |
United
| Professional | $9.74 | $10.24 | $20.51 |