| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.23 | $10.24 | $11.64 | |
Aetna
| Professional | $10.14 | $10.14 | $10.24 | |
CareSource
| Facility | $10.14 | $15.21 | $15.21 | |
Cigna
| Facility | $9.57 | $10.14 | $85.00 | |
Cigna
| Professional | $10.14 | $10.14 | $18.46 | |
United
| Professional | $10.14 | $10.14 | $14.20 |