| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.89 | $1.89 | $1.89 | |
Aetna
| Professional | $1.89 | $2.11 | $2.31 | |
CareSource
| Facility | $3.38 | $4.55 | $5.58 | |
CareSource
| Professional | $3.38 | $7.84 | $7.84 | |
Cigna
| Facility | $3.94 | $3.94 | $3.94 | |
Cigna
| Professional | $2.00 | $2.00 | $16.39 | |
United
| Professional | $1.70 | $1.82 | $3.77 |