| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.25 | $2.25 | $2.25 | |
Aetna
| Professional | $2.20 | $2.25 | $2.25 | |
CareSource
| Facility | $2.23 | $2.29 | $4.03 | |
Cigna
| Facility | $2.65 | $2.65 | $2.98 | |
Cigna
| Professional | $2.65 | $2.65 | $12.48 | |
United
| Professional | $2.65 | $2.65 | $4.24 |