| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.42 | $11.42 | $11.42 | |
Aetna
| Professional | $10.78 | $11.42 | $12.51 | |
CareSource
| Facility | $13.46 | $27.95 | $36.22 | |
CareSource
| Professional | $13.46 | $14.49 | $24.84 | |
Cigna
| Facility | $8.94 | $12.44 | $24.25 | |
Cigna
| Professional | $8.94 | $12.44 | $94.95 | |
United
| Professional | $7.57 | $10.33 | $14.63 |