| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.25 | $0.25 | $0.86 | |
Aetna
| Professional | $0.25 | $0.41 | $0.71 | |
CareSource
| Facility | $0.28 | $0.28 | $0.51 | |
Cigna
| Facility | $0.75 | $0.75 | $85.00 | |
Cigna
| Professional | $0.75 | $0.75 | $1.54 | |
United
| Professional | $0.83 | $0.86 | $0.86 |