| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.23 | $3.23 | $3.26 | |
Aetna
| Professional | $3.23 | $3.23 | $3.26 | |
CareSource
| Facility | $3.23 | $4.84 | $4.84 | |
Cigna
| Facility | $3.04 | $3.23 | $85.00 | |
Cigna
| Professional | $3.23 | $3.23 | $6.08 | |
United
| Professional | $3.13 | $3.23 | $3.54 |