| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.40 | $0.40 | $0.40 | |
Aetna
| Professional | $0.40 | $0.53 | $0.91 | |
CareSource
| Facility | $0.86 | $0.86 | $1.34 | |
Cigna
| Facility | $1.41 | $1.41 | $1.41 | |
Cigna
| Professional | $5.08 | $5.92 | $5.92 | |
United
| Professional | $0.62 | $1.22 | $1.78 |