| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.24 | $4.24 | $4.29 | |
Aetna
| Professional | $4.23 | $4.23 | $4.29 | |
CareSource
| Facility | $4.23 | $6.35 | $6.35 | |
Cigna
| Facility | $3.99 | $4.23 | $85.00 | |
Cigna
| Professional | $4.23 | $4.23 | $7.60 | |
United
| Professional | $4.23 | $4.23 | $6.44 |