| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.14 | $9.91 | $12.81 | |
CareSource
| Facility | $14.17 | $16.78 | $20.09 | |
CareSource
| Professional | $13.98 | $17.48 | $32.40 | |
Cigna
| Facility | $17.44 | $17.44 | $17.44 | |
Cigna
| Professional | $5.91 | $5.91 | $5.91 | |
United
| Professional | $6.15 | $6.98 | $11.69 |