| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.95 | $1.95 | $1.95 | |
CareSource
| Facility | $1.62 | $1.62 | $3.39 | |
CareSource
| Professional | $1.78 | $1.78 | $3.02 | |
Cigna
| Facility | $2.04 | $2.04 | $64.57 | |
Cigna
| Professional | $1.70 | $1.74 | $2.04 |