| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.71 | $4.71 | $4.71 | |
Aetna
| Professional | $4.71 | $6.92 | $10.66 | |
CareSource
| Facility | $12.11 | $14.13 | $16.80 | |
Cigna
| Facility | $13.13 | $13.13 | $13.13 | |
Cigna
| Professional | $5.09 | $5.09 | $53.98 | |
United
| Professional | $6.05 | $8.84 | $15.68 |