| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.29 | $5.29 | $5.29 | |
Aetna
| Professional | $5.29 | $5.93 | $6.48 | |
CareSource
| Facility | $10.55 | $14.39 | $16.78 | |
CareSource
| Professional | $6.23 | $11.51 | $22.24 | |
Cigna
| Facility | $11.24 | $11.24 | $11.24 | |
Cigna
| Professional | $4.88 | $4.88 | $46.42 | |
United
| Professional | $4.69 | $5.05 | $9.59 |