| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.50 | $2.50 | $2.50 | |
Aetna
| Professional | $2.50 | $2.81 | $3.07 | |
CareSource
| Facility | $4.55 | $6.14 | $7.51 | |
CareSource
| Professional | $4.55 | $10.55 | $10.55 | |
Cigna
| Facility | $5.33 | $5.33 | $5.33 | |
Cigna
| Professional | $2.31 | $2.31 | $22.22 | |
United
| Professional | $2.27 | $2.60 | $4.94 |