| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.98 | $1.98 | $1.98 | |
Aetna
| Professional | $1.98 | $2.22 | $2.43 | |
CareSource
| Facility | $3.95 | $5.39 | $6.28 | |
CareSource
| Professional | $2.33 | $4.30 | $8.33 | |
Cigna
| Facility | $4.21 | $4.21 | $4.21 | |
Cigna
| Professional | $1.46 | $1.66 | $1.66 | |
United
| Professional | $1.76 | $1.80 | $3.59 |