| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.34 | $2.34 | $2.34 | |
Aetna
| Professional | $2.34 | $2.63 | $2.87 | |
CareSource
| Facility | $4.68 | $6.38 | $7.44 | |
CareSource
| Professional | $2.76 | $5.09 | $9.86 | |
Cigna
| Facility | $4.98 | $4.98 | $4.98 | |
Cigna
| Professional | $2.17 | $2.17 | $20.58 | |
United
| Professional | $2.12 | $2.42 | $4.25 |