| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.17 | $1.38 | $21.60 | |
Aetna
| Professional | $1.17 | $1.17 | $1.26 | |
CareSource
| Facility | $3.02 | $44,999.55 | $69,999.30 | |
Cigna
| Facility | $1.17 | $1.17 | $1.17 | |
Cigna
| Professional | $1.17 | $1.17 | $1.75 | |
United
| Professional | $1.14 | $1.14 | $2.71 |