| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.94 | $9.94 | $11.69 | |
Aetna
| Professional | $9.69 | $9.94 | $9.94 | |
CareSource
| Facility | $6.41 | $7.28 | $13.60 | |
Cigna
| Facility | $9.94 | $9.94 | $85.00 | |
Cigna
| Professional | $9.94 | $9.94 | $14.85 | |
United
| Professional | $9.44 | $9.74 | $10.99 |