| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.93 | $10.93 | $11.03 | |
Aetna
| Professional | $11.02 | $11.03 | $12.13 | |
CareSource
| Facility | $11.03 | $16.55 | $16.55 | |
Cigna
| Facility | $10.91 | $10.91 | $60.00 | |
Cigna
| Professional | $10.91 | $10.91 | $36.06 | |
United
| Professional | $9.86 | $11.62 | $16.82 |