| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.85 | $1.85 | $1.87 | |
Aetna
| Professional | $1.85 | $1.85 | $1.87 | |
CareSource
| Facility | $1.85 | $2.78 | $2.78 | |
Cigna
| Facility | $1.75 | $1.85 | $85.00 | |
Cigna
| Professional | $1.85 | $1.85 | $3.46 | |
United
| Professional | $1.85 | $1.85 | $2.38 |