| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.42 | $2.42 | $2.45 | |
Aetna
| Professional | $2.43 | $2.43 | $2.45 | |
CareSource
| Facility | $2.43 | $3.65 | $3.65 | |
Cigna
| Facility | $2.29 | $2.43 | $85.00 | |
Cigna
| Professional | $2.43 | $2.43 | $4.34 | |
United
| Professional | $2.43 | $2.43 | $3.22 |