| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.80 | $10.80 | $10.80 | |
Aetna
| Professional | $10.74 | $11.82 | $23.65 | |
CareSource
| Facility | $10.44 | $11.90 | $15.66 | |
CareSource
| Professional | $10.44 | $24.21 | $24.21 | |
Cigna
| Facility | $12.80 | $12.80 | $12.80 | |
Cigna
| Professional | $10.60 | $12.52 | $53.02 | |
United
| Professional | $9.02 | $15.04 | $19.85 |