| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.44 | $6.44 | $6.44 | |
Aetna
| Professional | $6.44 | $6.70 | $7.41 | |
CareSource
| Facility | $7.02 | $15.75 | $20.42 | |
CareSource
| Professional | $7.59 | $14.00 | $27.06 | |
Cigna
| Facility | $13.68 | $13.68 | $13.68 | |
Cigna
| Professional | $4.76 | $4.76 | $56.25 | |
United
| Professional | $5.47 | $6.31 | $12.19 |