| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $12.30 | $15.49 | |
Aetna
| Professional | $8.91 | $10.00 | $12.30 | |
CareSource
| Facility | $3.09 | $3.09 | $3.09 | |
Cigna
| Facility | $10.47 | $85.11 | $85.11 | |
Cigna
| Professional | $10.47 | $10.47 | $54.95 | |
United
| Professional | $10.47 | $11.22 | $11.75 |