| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.70 | $5.77 | $6.82 | |
Aetna
| Professional | $5.64 | $5.64 | $5.77 | |
CareSource
| Facility | $5.64 | $8.46 | $8.46 | |
Cigna
| Facility | $5.32 | $5.64 | $85.00 | |
Cigna
| Professional | $5.64 | $5.64 | $10.16 | |
United
| Professional | $5.64 | $5.64 | $7.90 |