| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.84 | $14.84 | $14.84 | |
Aetna
| Professional | $3.13 | $19.00 | $24.37 | |
CareSource
| Facility | $9.86 | $9.86 | $9.86 | |
CareSource
| Professional | $9.86 | $9.86 | $9.86 | |
Cigna
| Facility | $5.97 | $5.97 | $5.97 | |
Cigna
| Professional | $4.11 | $6.77 | $24.97 | |
United
| Professional | $3.75 | $5.89 | $9.22 |