| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.38 | $0.38 | $0.38 | |
Aetna
| Professional | $0.37 | $0.38 | $0.38 | |
CareSource
| Facility | $2.59 | $2.59 | $4.53 | |
Cigna
| Facility | $3.37 | $3.37 | $3.37 | |
Cigna
| Professional | $14.03 | $14.03 | $14.03 | |
United
| Professional | $4.12 | $4.25 | $4.25 |