| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.45 | $5.45 | $5.45 | |
Aetna
| Professional | $5.45 | $6.06 | $6.67 | |
CareSource
| Facility | $6.42 | $13.32 | $17.27 | |
CareSource
| Professional | $6.42 | $6.91 | $11.84 | |
Cigna
| Facility | $5.93 | $6.28 | $11.57 | |
Cigna
| Professional | $5.04 | $5.93 | $47.77 | |
United
| Professional | $3.61 | $4.93 | $8.21 |