| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.58 | $10.58 | $11.06 | |
Aetna
| Professional | $10.68 | $10.95 | $11.06 | |
CareSource
| Facility | $10.95 | $16.43 | $16.43 | |
Cigna
| Facility | $10.33 | $10.95 | $85.00 | |
Cigna
| Professional | $10.95 | $10.95 | $19.04 | |
United
| Professional | $10.95 | $10.95 | $13.63 |