| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.05 | $11.09 | $11.11 | |
Aetna
| Professional | $10.98 | $10.98 | $11.09 | |
CareSource
| Facility | $10.98 | $16.47 | $16.47 | |
Cigna
| Facility | $10.36 | $10.98 | $85.00 | |
Cigna
| Professional | $10.98 | $10.98 | $22.94 | |
United
| Professional | $10.98 | $10.98 | $15.48 |