| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.46 | $4.46 | $4.46 | |
Aetna
| Professional | $4.46 | $5.00 | $6.78 | |
CareSource
| Facility | $4.88 | $10.92 | $14.16 | |
CareSource
| Professional | $5.26 | $9.71 | $18.77 | |
Cigna
| Facility | $9.48 | $9.48 | $9.48 | |
Cigna
| Professional | $3.30 | $3.30 | $38.99 | |
United
| Professional | $3.81 | $4.37 | $8.49 |