| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.14 | $11.15 | $41.18 | |
Aetna
| Professional | $11.03 | $11.15 | $12.69 | |
CareSource
| Facility | $11.04 | $16.55 | $16.55 | |
Cigna
| Facility | $10.41 | $11.04 | $85.00 | |
Cigna
| Professional | $11.04 | $11.04 | $21.46 | |
United
| Professional | $11.04 | $11.04 | $47.98 |