| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.05 | $8.05 | $8.05 | |
Aetna
| Professional | $7.86 | $8.05 | $8.05 | |
CareSource
| Facility | $6.62 | $6.62 | $11.59 | |
Cigna
| Facility | $3.79 | $3.79 | $8.58 | |
Cigna
| Professional | $3.79 | $3.79 | $35.86 | |
United
| Professional | $3.79 | $3.79 | $9.14 |