| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.93 | $3.93 | $4.01 | |
Aetna
| Professional | $3.89 | $3.89 | $5.34 | |
CareSource
| Facility | $3.89 | $5.84 | $5.84 | |
Cigna
| Facility | $3.67 | $3.89 | $85.00 | |
Cigna
| Professional | $3.89 | $3.89 | $7.30 | |
United
| Professional | $3.89 | $3.89 | $4.66 |