| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.95 | $4.53 | $15.54 | |
Aetna
| Professional | $3.91 | $3.95 | $4.53 | |
CareSource
| Facility | $3.91 | $4.49 | $5.87 | |
CareSource
| Professional | $9.06 | $9.06 | $9.06 | |
Cigna
| Facility | $3.69 | $3.91 | $85.00 | |
Cigna
| Professional | $3.91 | $3.91 | $8.42 | |
United
| Professional | $3.91 | $3.91 | $18.00 |