| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.41 | $1.41 | $1.55 | |
Aetna
| Professional | $1.47 | $1.47 | $1.48 | |
CareSource
| Facility | $1.41 | $1.47 | $2.21 | |
CareSource
| Professional | $1.47 | $1.68 | $3.41 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $1.47 | $1.47 | $1.51 | |
United
| Professional | $1.47 | $1.47 | $2.35 |