| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.94 | $9.94 | $9.94 | |
Aetna
| Professional | $7.20 | $11.05 | $12.18 | |
CareSource
| Facility | $10.86 | $24.34 | $31.55 | |
CareSource
| Professional | $11.72 | $21.64 | $41.80 | |
Cigna
| Facility | $21.13 | $21.13 | $21.13 | |
Cigna
| Professional | $7.36 | $7.36 | $86.90 | |
United
| Professional | $8.56 | $9.93 | $18.03 |