| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.54 | $6.54 | $9.52 | |
Aetna
| Professional | $9.52 | $9.56 | $12.60 | |
CareSource
| Facility | $14.48 | $14.48 | $16.89 | |
Cigna
| Facility | $11.93 | $11.93 | $11.93 | |
Cigna
| Professional | $9.52 | $9.52 | $49.89 | |
United
| Professional | $4.22 | $10.09 | $14.94 |