| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.19 | $0.19 | $0.19 | |
Aetna
| Professional | $0.19 | $0.20 | $0.28 | |
CareSource
| Facility | $0.26 | $0.32 | $0.42 | |
Cigna
| Facility | $7.38 | $7.38 | $7.38 | |
Cigna
| Professional | $0.27 | $0.27 | $7.42 | |
United
| Professional | $0.19 | $0.22 | $0.45 |