| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $6.03 | $7.94 | |
CareSource
| Facility | $6.03 | $8.51 | $10.47 | |
CareSource
| Professional | $12.02 | $12.02 | $12.02 | |
Cigna
| Facility | $14.45 | $14.45 | $14.45 | |
Cigna
| Professional | $2.88 | $33.11 | $33.11 | |
United
| Professional | $6.61 | $10.00 | $16.98 |