| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $3.02 | $5.01 | $7.08 | |
CareSource
| Facility | $11.75 | $11.75 | $11.75 | |
CareSource
| Professional | $10.47 | $10.47 | $10.47 | |
Cigna
| Facility | $14.13 | $14.13 | $14.13 | |
Cigna
| Professional | $4.47 | $4.47 | $42.66 | |
United
| Facility | $8.91 | $8.91 | $8.91 | |
United
| Professional | $3.89 | $4.57 | $7.76 |