| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.24 | $0.24 | $0.24 | |
Aetna
| Professional | $0.24 | $0.28 | $0.53 | |
CareSource
| Facility | $0.28 | $0.28 | $0.44 | |
CareSource
| Professional | $0.66 | $0.66 | $0.66 | |
Cigna
| Facility | $0.83 | $0.83 | $0.83 | |
Cigna
| Professional | $0.33 | $0.33 | $2.31 | |
United
| Professional | $0.42 | $0.74 | $1.04 |