| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.89 | $6.89 | $6.89 | |
Aetna
| Professional | $6.06 | $7.66 | $8.44 | |
CareSource
| Facility | $7.52 | $16.86 | $21.86 | |
CareSource
| Professional | $8.11 | $14.99 | $28.96 | |
Cigna
| Facility | $14.64 | $14.64 | $14.64 | |
Cigna
| Professional | $5.09 | $5.09 | $60.20 | |
United
| Professional | $6.01 | $7.49 | $19.98 |