| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.01 | $11.01 | $11.01 | |
Aetna
| Professional | $2.73 | $14.00 | $18.07 | |
CareSource
| Facility | $8.57 | $8.57 | $8.57 | |
CareSource
| Professional | $8.57 | $8.57 | $8.57 | |
Cigna
| Facility | $5.22 | $5.22 | $5.22 | |
Cigna
| Professional | $3.60 | $6.35 | $21.83 | |
United
| Professional | $3.28 | $5.43 | $11.04 |