| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.07 | $7.07 | $14.40 | |
Aetna
| Professional | $7.07 | $11.52 | $11.95 | |
CareSource
| Facility | $8.06 | $8.06 | $14.11 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $43.67 | $43.67 | $43.67 | |
United
| Professional | $14.40 | $14.40 | $16.13 |