| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.61 | $1.73 | $1,343.85 | |
Aetna
| Professional | $0.61 | $0.61 | $0.62 | |
CareSource
| Facility | $0.61 | $0.92 | $0.92 | |
Cigna
| Facility | $0.57 | $0.61 | $85.00 | |
Cigna
| Professional | $0.61 | $0.61 | $6.09 | |
United
| Professional | $0.61 | $0.65 | $3.83 |