| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.46 | $9.46 | $9.46 | |
Aetna
| Professional | $9.03 | $9.46 | $11.59 | |
CareSource
| Facility | $11.14 | $23.14 | $30.00 | |
CareSource
| Professional | $11.14 | $12.00 | $20.57 | |
Cigna
| Facility | $5.40 | $10.29 | $20.09 | |
Cigna
| Professional | $5.40 | $10.29 | $80.40 | |
United
| Professional | $6.25 | $8.58 | $14.25 |