| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.77 | $11.77 | $11.77 | |
Aetna
| Professional | $11.38 | $13.08 | $14.43 | |
CareSource
| Facility | $12.83 | $28.82 | $37.36 | |
CareSource
| Professional | $13.88 | $25.62 | $49.50 | |
Cigna
| Facility | $25.02 | $25.02 | $25.02 | |
Cigna
| Professional | $8.71 | $8.71 | $102.91 | |
United
| Professional | $10.11 | $11.73 | $21.35 |