| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.65 | $7.65 | $7.65 | |
Aetna
| Professional | $7.65 | $8.58 | $9.38 | |
CareSource
| Facility | $15.27 | $20.82 | $24.29 | |
CareSource
| Professional | $9.02 | $16.66 | $32.18 | |
Cigna
| Facility | $16.26 | $16.26 | $16.26 | |
Cigna
| Professional | $7.09 | $7.09 | $67.29 | |
United
| Professional | $6.77 | $7.29 | $15.09 |