| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.93 | $15.88 | $19.53 | |
CareSource
| Facility | $23.54 | $24.61 | $32.10 | |
CareSource
| Professional | $19.69 | $24.61 | $45.65 | |
Cigna
| Facility | $30.77 | $30.77 | $30.77 | |
Cigna
| Professional | $9.44 | $9.44 | $9.44 | |
United
| Professional | $9.21 | $9.82 | $16.45 |