| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.88 | $4.88 | $4.88 | |
Aetna
| Professional | $4.88 | $5.47 | $5.98 | |
CareSource
| Facility | $9.74 | $13.28 | $15.49 | |
CareSource
| Professional | $5.75 | $10.62 | $20.52 | |
Cigna
| Facility | $10.37 | $10.37 | $10.37 | |
Cigna
| Professional | $4.51 | $4.51 | $43.24 | |
United
| Professional | $4.33 | $5.00 | $8.85 |