| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.86 | $9.91 | $10.01 | |
Aetna
| Professional | $9.77 | $9.77 | $10.01 | |
CareSource
| Facility | $9.77 | $14.67 | $14.67 | |
Cigna
| Facility | $9.22 | $9.77 | $85.00 | |
Cigna
| Professional | $9.77 | $9.77 | $17.18 | |
United
| Professional | $9.77 | $9.77 | $14.27 |