| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.31 | $0.31 | $0.31 | |
Aetna
| Professional | $0.30 | $0.31 | $0.33 | |
BCBS
| Facility | $4.94 | $4.94 | $4.94 | |
BCBS
| Professional | $4.94 | $4.94 | $4.94 | |
CareSource
| Facility | $0.31 | $0.31 | $0.31 | |
Cigna
| Facility | $0.31 | $0.31 | $0.31 | |
Cigna
| Professional | $0.31 | $0.31 | $0.31 | |
United
| Professional | $0.12 | $0.30 | $0.31 |