| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.10 | $3.10 | $5.77 | |
Aetna
| Professional | $3.70 | $3.74 | $3.74 | |
CareSource
| Facility | $3.70 | $5.55 | $5.55 | |
Cigna
| Facility | $3.49 | $3.70 | $85.00 | |
Cigna
| Professional | $3.70 | $3.70 | $6.10 | |
United
| Professional | $3.70 | $3.70 | $5.57 |