| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.34 | $2.34 | $2.34 | |
Aetna
| Professional | $2.34 | $2.62 | $3.22 | |
CareSource
| Facility | $2.54 | $5.71 | $7.40 | |
CareSource
| Professional | $2.75 | $5.08 | $9.81 | |
Cigna
| Facility | $4.96 | $4.96 | $4.96 | |
Cigna
| Professional | $1.73 | $1.73 | $20.39 | |
United
| Professional | $2.00 | $2.29 | $4.23 |