| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.28 | $8.28 | $9.75 | |
Aetna
| Professional | $8.28 | $8.28 | $8.89 | |
CareSource
| Facility | $1.95 | $2.02 | $3.54 | |
Cigna
| Facility | $8.28 | $8.28 | $85.00 | |
Cigna
| Professional | $8.28 | $8.28 | $12.38 | |
United
| Professional | $8.13 | $8.13 | $9.75 |