| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.25 | $2.25 | $2.27 | |
Aetna
| Professional | $2.22 | $2.22 | $2.27 | |
CareSource
| Facility | $2.22 | $3.33 | $3.33 | |
Cigna
| Facility | $2.10 | $2.22 | $2.72 | |
Cigna
| Professional | $2.22 | $2.22 | $4.09 | |
United
| Professional | $2.22 | $2.22 | $3.20 |