| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
CareSource
| Facility | $3.55 | $3.55 | $3.55 | |
CareSource
| Professional | $3.16 | $3.16 | $3.16 | |
Cigna
| Facility | $4.17 | $4.17 | $4.17 | |
Cigna
| Professional | $1.32 | $1.32 | $12.59 | |
United
| Facility | $2.63 | $2.63 | $2.63 | |
United
| Professional | $1.17 | $1.38 | $2.34 |