| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.35 | $1.35 | $1.35 | |
Aetna
| Professional | $1.35 | $1.55 | $4.68 | |
CareSource
| Facility | $2.70 | $3.68 | $4.29 | |
CareSource
| Professional | $1.59 | $2.94 | $5.69 | |
Cigna
| Facility | $5.23 | $5.23 | $5.23 | |
Cigna
| Professional | $1.25 | $1.25 | $11.86 | |
United
| Professional | $1.22 | $1.55 | $2.81 |