| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $3.02 | $5.01 | $7.08 | |
CareSource
| Facility | $6.46 | $6.46 | $6.46 | |
CareSource
| Professional | $6.46 | $6.46 | $6.46 | |
Cigna
| Facility | $14.79 | $14.79 | $14.79 | |
Cigna
| Professional | $4.68 | $4.68 | $44.67 | |
United
| Facility | $9.33 | $9.33 | $9.33 | |
United
| Professional | $4.07 | $4.79 | $8.13 |