| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.83 | $2.83 | $2.83 | |
Aetna
| Professional | $2.83 | $4.16 | $6.41 | |
CareSource
| Facility | $7.34 | $8.57 | $10.11 | |
Cigna
| Facility | $7.90 | $7.90 | $7.90 | |
Cigna
| Professional | $5.50 | $5.50 | $216.93 | |
United
| Professional | $3.64 | $5.32 | $9.44 |