| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.30 | $13.30 | $13.48 | |
Aetna
| Professional | $13.29 | $13.42 | $14.76 | |
CareSource
| Facility | $13.29 | $19.94 | $19.94 | |
Cigna
| Facility | $12.54 | $13.29 | $85.00 | |
Cigna
| Professional | $13.29 | $13.29 | $24.64 | |
United
| Professional | $12.95 | $13.29 | $15.24 |