| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.50 | $7.50 | $7.50 | |
Aetna
| Professional | $7.50 | $7.50 | $7.50 | |
CareSource
| Facility | $7.43 | $10.02 | $11.70 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $4.37 | $4.37 | $7.94 |