| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.65 | $2.65 | $2.68 | |
Aetna
| Professional | $2.65 | $2.65 | $2.68 | |
CareSource
| Facility | $2.65 | $3.98 | $3.98 | |
Cigna
| Facility | $2.50 | $2.65 | $3.08 | |
Cigna
| Professional | $2.65 | $2.65 | $4.59 | |
United
| Professional | $2.65 | $2.65 | $3.62 |