| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.37 | $0.37 | $0.37 | |
Aetna
| Professional | $0.37 | $0.39 | $0.57 | |
CareSource
| Facility | $0.56 | $0.74 | $1.02 | |
CareSource
| Professional | $0.56 | $0.56 | $0.56 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $0.80 | $0.80 | $0.89 | |
United
| Professional | $0.37 | $0.67 | $0.94 |