| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.19 | $2.19 | |
Aetna
| Professional | $2.00 | $2.00 | $2.29 | |
CareSource
| Facility | $1.78 | $1.78 | $6.46 | |
CareSource
| Professional | $1.91 | $1.91 | $1.91 | |
Cigna
| Facility | $2.04 | $6.46 | $85.11 | |
Cigna
| Professional | $2.19 | $11.48 | $11.48 | |
United
| Facility | $0.02 | $0.02 | $0.02 | |
United
| Professional | $0.87 | $2.19 | $3.55 |