| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.84 | $9.13 | $9.26 | |
Aetna
| Professional | $8.75 | $8.84 | $9.72 | |
CareSource
| Facility | $8.75 | $13.13 | $13.13 | |
Cigna
| Facility | $8.26 | $8.75 | $85.00 | |
Cigna
| Professional | $8.75 | $8.75 | $16.55 | |
United
| Professional | $8.75 | $8.75 | $12.67 |