| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.50 | $1.50 | $1.50 | |
Aetna
| Professional | $1.50 | $1.58 | $2.34 | |
CareSource
| Facility | $2.09 | $3.01 | $3.35 | |
CareSource
| Professional | $2.68 | $2.68 | $2.68 | |
Cigna
| Facility | $3.87 | $3.87 | $3.87 | |
Cigna
| Professional | $12.48 | $34.00 | $34.00 | |
United
| Professional | $1.48 | $2.63 | $4.26 |