| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.28 | $9.28 | $9.28 | |
Aetna
| Professional | $8.98 | $10.32 | $11.37 | |
CareSource
| Facility | $10.13 | $22.72 | $29.45 | |
CareSource
| Professional | $10.94 | $20.20 | $39.02 | |
Cigna
| Facility | $19.73 | $19.73 | $19.73 | |
Cigna
| Professional | $6.87 | $6.87 | $81.12 | |
United
| Professional | $7.90 | $8.39 | $16.82 |