| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.86 | $3.86 | $8.49 | |
Aetna
| Professional | $8.41 | $8.41 | $9.33 | |
CareSource
| Facility | $8.41 | $12.62 | $12.62 | |
Cigna
| Facility | $7.93 | $8.41 | $85.00 | |
Cigna
| Professional | $8.41 | $8.41 | $9.56 | |
United
| Professional | $3.19 | $8.41 | $8.41 |