| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.60 | $3.60 | $3.60 | |
Aetna
| Professional | $3.60 | $4.04 | $4.42 | |
CareSource
| Facility | $7.18 | $9.80 | $11.43 | |
CareSource
| Professional | $4.24 | $7.86 | $15.14 | |
Cigna
| Facility | $7.68 | $7.68 | $7.68 | |
Cigna
| Professional | $3.35 | $3.35 | $31.67 | |
United
| Professional | $3.11 | $3.26 | $6.53 |