| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $19.05 | $19.05 | |
Aetna
| Professional | $7.94 | $10.00 | $14.79 | |
CareSource
| Facility | $16.98 | $16.98 | $16.98 | |
CareSource
| Professional | $15.14 | $15.14 | $15.14 | |
Cigna
| Facility | $10.47 | $38.02 | $50.12 | |
Cigna
| Professional | $6.76 | $81.28 | $81.28 | |
United
| Facility | $7.59 | $7.59 | $7.59 | |
United
| Professional | $5.37 | $6.46 | $16.22 |