| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.23 | $1.23 | $11.37 | |
Aetna
| Professional | $1.19 | $1.23 | $1.23 | |
CareSource
| Facility | $0.15 | $44,999.55 | $69,999.30 | |
Cigna
| Facility | $1.23 | $1.23 | $1.23 | |
Cigna
| Professional | $1.23 | $1.23 | $1.23 | |
United
| Professional | $0.11 | $0.17 | $0.27 |