| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.19 | $0.19 | $0.19 | |
Aetna
| Professional | $0.15 | $0.20 | $0.28 | |
CareSource
| Facility | $0.28 | $0.37 | $0.51 | |
CareSource
| Professional | $0.28 | $0.28 | $0.28 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $0.15 | $0.15 | $0.56 | |
United
| Professional | $0.19 | $0.28 | $0.46 |