| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.24 | $5.51 | $5.89 | |
Aetna
| Professional | $5.24 | $5.46 | $5.51 | |
CareSource
| Facility | $5.46 | $5.46 | $8.19 | |
CareSource
| Professional | $12.67 | $12.67 | $12.67 | |
Cigna
| Facility | $5.15 | $5.46 | $85.00 | |
Cigna
| Professional | $5.46 | $5.46 | $9.11 | |
United
| Professional | $5.46 | $5.46 | $7.53 |