| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.24 | $2.45 | |
CareSource
| Facility | $2.50 | $3.62 | $6.34 | |
CareSource
| Professional | $2.50 | $2.50 | $8.39 | |
Cigna
| Facility | $4.25 | $4.25 | $4.25 | |
Cigna
| Professional | $1.85 | $1.85 | $17.54 | |
United
| Professional | $1.81 | $1.81 | $3.23 |