| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.10 | $6.10 | $6.10 | |
Aetna
| Professional | $6.10 | $6.83 | $7.47 | |
CareSource
| Facility | $7.81 | $8.06 | $19.34 | |
CareSource
| Professional | $7.81 | $7.81 | $25.61 | |
Cigna
| Facility | $12.95 | $12.95 | $12.95 | |
Cigna
| Professional | $5.64 | $5.64 | $53.55 | |
United
| Professional | $5.40 | $5.54 | $11.05 |