| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.52 | $1.52 | $1.69 | |
Aetna
| Professional | $1.56 | $1.67 | $1.69 | |
CareSource
| Facility | $1.67 | $2.50 | $2.50 | |
Cigna
| Facility | $1.58 | $1.67 | $85.00 | |
Cigna
| Professional | $1.67 | $1.67 | $2.68 | |
United
| Facility | $1.67 | $1.67 | $1.67 | |
United
| Professional | $1.67 | $1.67 | $2.29 |