| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.68 | $5.68 | $5.68 | |
Aetna
| Professional | $5.68 | $6.36 | $8.23 | |
CareSource
| Facility | $6.20 | $13.89 | $18.01 | |
CareSource
| Professional | $6.69 | $12.35 | $23.88 | |
Cigna
| Facility | $12.06 | $12.06 | $12.06 | |
Cigna
| Professional | $4.20 | $4.20 | $49.60 | |
United
| Professional | $4.96 | $5.57 | $10.76 |