| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.74 | $8.74 | $8.74 | |
Aetna
| Professional | $8.74 | $9.72 | $10.71 | |
CareSource
| Facility | $10.30 | $21.40 | $27.74 | |
CareSource
| Professional | $10.30 | $11.10 | $19.02 | |
Cigna
| Facility | $9.23 | $9.23 | $18.57 | |
Cigna
| Professional | $6.47 | $9.23 | $11.20 | |
United
| Professional | $5.78 | $7.93 | $14.73 |