| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $5.00 | $5.00 | $6.46 | |
CareSource
| Facility | $6.16 | $6.44 | $8.40 | |
Cigna
| Facility | $4.12 | $4.12 | $4.12 | |
Cigna
| Professional | $3.50 | $4.12 | $6.16 | |
United
| Professional | $0.24 | $2.56 | $5.43 |