| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.63 | $4.63 | $4.63 | |
Aetna
| Professional | $4.63 | $5.34 | $6.85 | |
CareSource
| Facility | $5.07 | $11.37 | $14.74 | |
CareSource
| Professional | $5.47 | $10.10 | $19.53 | |
Cigna
| Facility | $9.86 | $9.86 | $9.86 | |
Cigna
| Professional | $3.44 | $3.44 | $40.58 | |
United
| Professional | $4.05 | $4.55 | $8.78 |