| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.20 | $0.20 | $0.20 | |
Aetna
| Professional | $0.20 | $0.23 | $0.44 | |
CareSource
| Facility | $0.28 | $0.28 | $0.44 | |
CareSource
| Professional | $0.66 | $0.66 | $0.66 | |
Cigna
| Facility | $0.69 | $0.69 | $0.69 | |
Cigna
| Professional | $0.24 | $0.24 | $1.93 | |
United
| Professional | $0.35 | $0.66 | $0.87 |