| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.83 | $6.02 | $6.08 | |
Aetna
| Professional | $5.76 | $5.77 | $6.02 | |
CareSource
| Facility | $5.77 | $8.66 | $8.66 | |
Cigna
| Facility | $5.45 | $5.77 | $85.00 | |
Cigna
| Professional | $5.77 | $5.77 | $208.60 | |
United
| Professional | $5.77 | $5.77 | $19.14 |