| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $3.98 | $6.03 | $7.94 | |
CareSource
| Facility | $7.41 | $10.23 | $15.49 | |
CareSource
| Professional | $7.24 | $10.23 | $23.99 | |
Cigna
| Facility | $16.60 | $16.60 | $16.60 | |
Cigna
| Professional | $5.25 | $5.25 | $50.12 | |
United
| Facility | $10.47 | $10.47 | $10.47 | |
United
| Professional | $4.68 | $5.37 | $9.12 |