| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.31 | $6.31 | $6.31 | |
Aetna
| Professional | $6.16 | $6.31 | $6.31 | |
CareSource
| Facility | $4.03 | $4.03 | $7.05 | |
Cigna
| Facility | $4.76 | $4.76 | $5.22 | |
Cigna
| Professional | $4.76 | $4.76 | $21.83 | |
United
| Professional | $4.57 | $4.76 | $4.76 |