| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $0.52 | $0.52 | $0.52 | |
CareSource
| Professional | $0.47 | $0.47 | $0.47 | |
Cigna
| Facility | $0.62 | $0.62 | $0.62 | |
Cigna
| Professional | $0.20 | $0.20 | $1.86 | |
United
| Facility | $0.40 | $0.40 | $0.40 | |
United
| Professional | $0.18 | $0.21 | $0.36 |