| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.55 | $4.55 | $4.55 | |
Aetna
| Professional | $4.00 | $5.09 | $5.57 | |
CareSource
| Facility | $9.06 | $12.36 | $14.42 | |
CareSource
| Professional | $5.36 | $9.89 | $19.10 | |
Cigna
| Facility | $9.66 | $9.66 | $9.66 | |
Cigna
| Professional | $4.22 | $4.22 | $39.86 | |
United
| Professional | $4.12 | $4.13 | $7.68 |