| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.44 | $5.44 | $5.44 | |
Aetna
| Professional | $5.26 | $6.04 | $6.66 | |
CareSource
| Facility | $5.91 | $13.30 | $17.23 | |
CareSource
| Professional | $6.40 | $11.82 | $22.85 | |
Cigna
| Facility | $11.54 | $11.54 | $11.54 | |
Cigna
| Professional | $4.01 | $4.01 | $47.48 | |
United
| Professional | $4.62 | $5.33 | $10.28 |