| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $3.98 | $6.03 | $7.94 | |
CareSource
| Facility | $13.80 | $13.80 | $13.80 | |
CareSource
| Professional | $12.30 | $12.30 | $12.30 | |
Cigna
| Facility | $16.22 | $16.22 | $16.22 | |
Cigna
| Professional | $5.25 | $5.25 | $48.98 | |
United
| Facility | $10.47 | $10.47 | $10.47 | |
United
| Professional | $4.57 | $5.37 | $9.12 |