| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
CareSource
| Facility | $3.16 | $3.98 | $5.25 | |
CareSource
| Professional | $2.95 | $4.47 | $6.92 | |
Cigna
| Facility | $4.79 | $4.79 | $4.79 | |
Cigna
| Professional | $1.51 | $1.51 | $14.45 | |
United
| Facility | $3.02 | $3.02 | $3.02 | |
United
| Professional | $1.35 | $1.58 | $2.63 |