| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.35 | $12.35 | $12.47 | |
Aetna
| Professional | $12.32 | $12.43 | $13.68 | |
CareSource
| Facility | $12.32 | $18.48 | $18.48 | |
Cigna
| Facility | $11.62 | $12.32 | $12.39 | |
Cigna
| Professional | $12.32 | $12.32 | $23.04 | |
United
| Professional | $12.32 | $12.32 | $15.21 |