| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $3.02 | $5.01 | $7.08 | |
CareSource
| Facility | $11.48 | $11.48 | $11.48 | |
CareSource
| Professional | $10.23 | $10.23 | $10.23 | |
Cigna
| Facility | $13.49 | $13.49 | $13.49 | |
Cigna
| Professional | $4.37 | $4.37 | $40.74 | |
United
| Facility | $8.71 | $8.71 | $8.71 | |
United
| Professional | $3.80 | $4.47 | $7.59 |