| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.78 | $0.78 | $0.78 | |
Aetna
| Professional | $0.76 | $0.78 | $0.78 | |
CareSource
| Facility | $0.28 | $0.28 | $0.51 | |
Cigna
| Facility | $0.80 | $0.80 | $0.80 | |
Cigna
| Professional | $0.80 | $0.80 | $1.54 | |
United
| Professional | $0.80 | $0.80 | $0.87 |