| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.44 | $4.44 | $4.44 | |
Aetna
| Professional | $4.44 | $4.94 | $5.44 | |
CareSource
| Facility | $5.23 | $10.87 | $14.09 | |
CareSource
| Professional | $5.23 | $5.64 | $9.66 | |
Cigna
| Facility | $4.84 | $4.84 | $9.43 | |
Cigna
| Professional | $4.12 | $4.84 | $38.95 | |
United
| Professional | $3.10 | $4.07 | $6.70 |