| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.21 | $4.21 | $4.21 | |
Aetna
| Professional | $4.21 | $5.50 | $6.06 | |
CareSource
| Facility | $6.10 | $9.14 | $11.43 | |
CareSource
| Professional | $5.33 | $9.14 | $17.67 | |
Cigna
| Facility | $5.35 | $5.40 | $9.98 | |
Cigna
| Professional | $4.59 | $5.40 | $41.84 | |
United
| Professional | $3.28 | $4.38 | $7.62 |