| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.76 | $6.33 | $6.33 | |
Aetna
| Professional | $5.76 | $6.40 | $7.06 | |
CareSource
| Facility | $11.48 | $15.66 | $18.27 | |
CareSource
| Professional | $6.79 | $12.53 | $24.21 | |
Cigna
| Facility | $12.24 | $12.24 | $12.24 | |
Cigna
| Professional | $5.33 | $5.33 | $50.61 | |
United
| Professional | $4.86 | $5.24 | $10.44 |