| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.15 | $0.15 | |
Aetna
| Professional | $0.15 | $0.15 | $0.15 | |
CareSource
| Facility | $0.48 | $0.60 | $1.30 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $0.17 | $0.17 | $1.47 | |
United
| Professional | $0.19 | $0.22 | $0.45 |