| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $3.02 | $3.98 | |
CareSource
| Facility | $3.63 | $5.25 | $5.75 | |
CareSource
| Professional | $7.41 | $7.41 | $7.41 | |
Cigna
| Facility | $7.59 | $7.59 | $7.59 | |
Cigna
| Professional | $1.62 | $19.05 | $19.05 | |
United
| Professional | $3.55 | $5.50 | $8.91 |