| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.37 | $0.37 | $0.37 | |
Aetna
| Professional | $0.37 | $0.39 | $0.57 | |
CareSource
| Facility | $0.52 | $0.65 | $0.84 | |
CareSource
| Professional | $0.67 | $0.67 | $0.67 | |
Cigna
| Facility | $1.34 | $1.34 | $1.34 | |
Cigna
| Professional | $3.13 | $3.83 | $3.83 | |
United
| Professional | $0.37 | $0.67 | $1.02 |