| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $3.98 | $5.01 | $7.08 | |
CareSource
| Facility | $5.75 | $6.17 | $11.75 | |
CareSource
| Professional | $6.17 | $6.17 | $10.47 | |
Cigna
| Facility | $5.25 | $14.13 | $14.13 | |
Cigna
| Professional | $4.47 | $4.47 | $42.66 | |
United
| Facility | $3.39 | $3.98 | $5.75 | |
United
| Professional | $3.39 | $5.01 | $7.59 |