| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.71 | $13.28 | $44.48 | |
Aetna
| Professional | $1.57 | $1.59 | $2.15 | |
CareSource
| Facility | $1.57 | $2.36 | $2.36 | |
Cigna
| Facility | $1.48 | $1.57 | $85.00 | |
Cigna
| Professional | $1.57 | $1.57 | $7.97 | |
United
| Professional | $1.57 | $1.57 | $3.88 |