| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.74 | $150.55 | $150.55 | |
Aetna
| Professional | $9.64 | $9.74 | $10.71 | |
CareSource
| Facility | $9.64 | $14.46 | $14.46 | |
Cigna
| Facility | $9.10 | $9.64 | $85.00 | |
Cigna
| Professional | $9.64 | $9.64 | $171.48 | |
United
| Professional | $9.64 | $10.80 | $66.50 |