| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.75 | $8.75 | $8.75 | |
Aetna
| Professional | $7.73 | $9.16 | $20.16 | |
CareSource
| Facility | $14.86 | $20.20 | $32.42 | |
CareSource
| Professional | $20.93 | $20.93 | $20.93 | |
Cigna
| Facility | $23.12 | $23.12 | $23.12 | |
Cigna
| Professional | $9.40 | $18.12 | $26.16 | |
United
| Professional | $7.04 | $10.80 | $17.95 |