| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.34 | $5.34 | $5.40 | |
Aetna
| Professional | $5.32 | $5.32 | $5.40 | |
CareSource
| Facility | $5.32 | $7.98 | $7.98 | |
Cigna
| Facility | $5.01 | $5.32 | $85.00 | |
Cigna
| Professional | $5.32 | $5.32 | $9.53 | |
United
| Professional | $3.46 | $5.32 | $6.65 |