| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.37 | $10.37 | $10.37 | |
Aetna
| Professional | $10.26 | $10.27 | $10.37 | |
CareSource
| Facility | $10.27 | $15.41 | $15.41 | |
Cigna
| Facility | $9.69 | $10.27 | $24.94 | |
Cigna
| Professional | $10.27 | $10.27 | $19.22 | |
United
| Professional | $10.27 | $10.27 | $15.00 |