| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.25 | $7.25 | $7.25 | |
Aetna
| Professional | $7.25 | $10.67 | $16.42 | |
CareSource
| Facility | $18.72 | $21.84 | $25.88 | |
Cigna
| Facility | $20.22 | $20.22 | $20.22 | |
Cigna
| Professional | $10.19 | $10.19 | $83.15 | |
United
| Professional | $8.61 | $12.92 | $30.97 |