| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.97 | $5.97 | $5.97 | |
Aetna
| Professional | $5.97 | $6.86 | $23.63 | |
CareSource
| Facility | $6.50 | $14.59 | $18.92 | |
CareSource
| Professional | $7.03 | $12.97 | $25.07 | |
Cigna
| Facility | $12.67 | $12.67 | $12.67 | |
Cigna
| Professional | $4.41 | $4.41 | $52.10 | |
United
| Professional | $5.07 | $5.39 | $9.66 |