| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.78 | $2.78 | $5.25 | |
Aetna
| Professional | $2.78 | $4.53 | $4.53 | |
CareSource
| Facility | $3.17 | $3.17 | $5.55 | |
Cigna
| Facility | $3.49 | $3.49 | $85.00 | |
Cigna
| Professional | $3.49 | $3.49 | $17.16 | |
United
| Professional | $5.09 | $5.25 | $5.25 |