| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.98 | $5.98 | $6.09 | |
Aetna
| Professional | $5.84 | $5.98 | $5.98 | |
CareSource
| Facility | $3.07 | $3.17 | $5.55 | |
Cigna
| Facility | $6.17 | $6.17 | $85.00 | |
Cigna
| Professional | $6.17 | $6.17 | $17.16 | |
United
| Professional | $10.37 | $12.93 | $13.66 |