| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.47 | $8.47 | $8.47 | |
Aetna
| Professional | $8.47 | $9.50 | $10.38 | |
CareSource
| Facility | $16.89 | $23.04 | $26.88 | |
CareSource
| Professional | $13.82 | $15.67 | $35.61 | |
Cigna
| Facility | $16.97 | $16.97 | $64.00 | |
Cigna
| Professional | $7.84 | $10.72 | $10.72 | |
United
| Professional | $7.51 | $8.66 | $15.36 |