| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $3.50 | $4.42 | $4.88 | |
CareSource
| Facility | $4.34 | $9.75 | $12.64 | |
CareSource
| Professional | $4.69 | $8.66 | $16.73 | |
Cigna
| Facility | $8.46 | $8.46 | $8.46 | |
Cigna
| Professional | $2.95 | $2.95 | $34.79 | |
United
| Professional | $3.43 | $3.92 | $7.22 |