| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.57 | $11.57 | $11.57 | |
Aetna
| Professional | $11.57 | $12.86 | $14.18 | |
CareSource
| Facility | $13.64 | $28.32 | $36.72 | |
CareSource
| Professional | $13.64 | $14.69 | $25.18 | |
Cigna
| Facility | $13.91 | $13.91 | $24.59 | |
Cigna
| Professional | $8.56 | $13.91 | $14.83 | |
United
| Professional | $7.66 | $10.47 | $17.45 |