| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.61 | $3.61 | $3.61 | |
Aetna
| Professional | $3.53 | $3.61 | $3.61 | |
CareSource
| Facility | $3.45 | $3.45 | $6.04 | |
Cigna
| Facility | $3.75 | $3.75 | $4.47 | |
Cigna
| Professional | $3.75 | $3.75 | $18.70 | |
United
| Professional | $3.75 | $3.75 | $5.48 |