| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
CareSource
| Facility | $2.69 | $3.72 | $4.90 | |
CareSource
| Professional | $3.39 | $4.07 | $5.62 | |
Cigna
| Facility | $5.50 | $5.50 | $5.50 | |
Cigna
| Professional | $1.74 | $1.74 | $16.60 | |
United
| Facility | $3.47 | $3.47 | $3.47 | |
United
| Professional | $1.51 | $1.78 | $3.02 |