| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.27 | $6.27 | $6.27 | |
Aetna
| Professional | $6.27 | $6.97 | $7.68 | |
CareSource
| Facility | $6.84 | $15.35 | $19.89 | |
CareSource
| Professional | $7.39 | $13.64 | $26.36 | |
Cigna
| Facility | $13.32 | $13.32 | $13.32 | |
Cigna
| Professional | $4.63 | $4.63 | $54.80 | |
United
| Professional | $5.34 | $5.75 | $11.37 |