| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.24 | $0.24 | $0.28 | |
Aetna
| Professional | $0.23 | $0.24 | $0.24 | |
CareSource
| Facility | $44,999.55 | $44,999.55 | $69,999.30 | |
Cigna
| Facility | $0.24 | $0.24 | $0.24 | |
Cigna
| Professional | $0.24 | $0.24 | $0.36 | |
United
| Professional | $0.23 | $0.23 | $0.28 |