| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.74 | $5.45 | $5.50 | |
Aetna
| Professional | $4.69 | $4.74 | $5.50 | |
CareSource
| Facility | $4.69 | $7.04 | $7.04 | |
Cigna
| Facility | $4.43 | $4.69 | $18.39 | |
Cigna
| Professional | $4.69 | $4.69 | $13.38 | |
United
| Professional | $4.55 | $4.69 | $21.64 |