| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.20 | $4.20 | $4.20 | |
Aetna
| Professional | $4.20 | $4.83 | $7.33 | |
CareSource
| Facility | $4.58 | $10.27 | $13.32 | |
CareSource
| Professional | $4.95 | $9.13 | $17.64 | |
Cigna
| Facility | $8.92 | $8.92 | $8.92 | |
Cigna
| Professional | $3.11 | $3.11 | $36.68 | |
United
| Professional | $3.61 | $3.80 | $7.61 |