| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.68 | $1.68 | $1.68 | |
Aetna
| Professional | $1.68 | $1.77 | $2.63 | |
CareSource
| Facility | $2.45 | $3.50 | $4.53 | |
CareSource
| Professional | $3.01 | $3.01 | $3.01 | |
Cigna
| Facility | $4.30 | $4.30 | $4.30 | |
Cigna
| Professional | $0.75 | $0.75 | $14.03 | |
United
| Professional | $1.67 | $2.89 | $4.59 |