| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.68 | $5.68 | $5.68 | |
Aetna
| Professional | $5.68 | $6.35 | $6.95 | |
CareSource
| Facility | $7.25 | $10.28 | $15.42 | |
CareSource
| Professional | $7.25 | $23.83 | $23.83 | |
Cigna
| Facility | $12.05 | $12.05 | $12.05 | |
Cigna
| Professional | $5.25 | $5.25 | $49.84 | |
United
| Professional | $5.01 | $5.56 | $11.18 |