| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $37.15 | $37.15 | |
Aetna
| Professional | $16.98 | $19.95 | $22.91 | |
CareSource
| Facility | $33.88 | $33.88 | $33.88 | |
CareSource
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Facility | $20.89 | $39.81 | $74.13 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Facility | $15.14 | $15.14 | $15.14 | |
United
| Professional | $10.47 | $11.22 | $30.90 |