| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.58 | $8.58 | $15.40 | |
Aetna
| Professional | $8.58 | $13.99 | $13.99 | |
CareSource
| Facility | $9.78 | $9.78 | $17.13 | |
Cigna
| Facility | $8.94 | $8.94 | $85.00 | |
Cigna
| Professional | $8.94 | $8.94 | $53.02 | |
United
| Professional | $14.94 | $15.40 | $15.40 |