| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.74 | $18.14 | $18.14 | |
Aetna
| Professional | $8.66 | $8.74 | $9.34 | |
CareSource
| Facility | $6.93 | $8.66 | $12.99 | |
CareSource
| Professional | $5.63 | $6.06 | $8.66 | |
Cigna
| Facility | $8.17 | $8.66 | $85.00 | |
Cigna
| Professional | $8.66 | $8.66 | $17.18 | |
United
| Professional | $5.63 | $8.66 | $13.86 |