| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.29 | $3.58 | $10.28 | |
Aetna
| Professional | $2.29 | $3.54 | $3.58 | |
CareSource
| Facility | $3.54 | $5.31 | $5.31 | |
Cigna
| Facility | $3.34 | $3.54 | $85.00 | |
Cigna
| Professional | $3.54 | $3.54 | $45.39 | |
United
| Professional | $3.54 | $3.54 | $17.11 |