| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.79 | $4.79 | $4.79 | |
Aetna
| Professional | $4.22 | $5.38 | $5.87 | |
CareSource
| Facility | $9.56 | $13.04 | $15.21 | |
CareSource
| Professional | $5.65 | $10.43 | $20.14 | |
Cigna
| Facility | $10.19 | $10.19 | $10.19 | |
Cigna
| Professional | $4.45 | $4.45 | $42.27 | |
United
| Professional | $4.34 | $4.36 | $8.69 |