| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.43 | $8.43 | $8.43 | |
Aetna
| Professional | $8.43 | $9.44 | $10.32 | |
CareSource
| Facility | $16.80 | $22.92 | $26.74 | |
CareSource
| Professional | $9.93 | $18.34 | $35.42 | |
Cigna
| Facility | $17.89 | $17.89 | $17.89 | |
Cigna
| Professional | $7.80 | $7.80 | $74.04 | |
United
| Professional | $7.62 | $8.61 | $16.64 |