| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.10 | $9.11 | $13.44 | |
Aetna
| Professional | $9.01 | $9.01 | $9.11 | |
CareSource
| Facility | $9.01 | $13.52 | $13.52 | |
Cigna
| Facility | $8.50 | $9.01 | $85.00 | |
Cigna
| Professional | $9.01 | $9.01 | $21.27 | |
United
| Professional | $9.01 | $9.01 | $19.32 |