| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.61 | $5.61 | $5.61 | |
Aetna
| Professional | $5.61 | $6.28 | $6.87 | |
CareSource
| Facility | $11.18 | $15.24 | $17.78 | |
CareSource
| Professional | $6.60 | $12.19 | $23.57 | |
Cigna
| Facility | $11.90 | $11.90 | $11.90 | |
Cigna
| Professional | $5.19 | $5.19 | $49.21 | |
United
| Professional | $4.96 | $5.49 | $11.05 |