| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.01 | $1.01 | $1.01 | |
Aetna
| Professional | $1.01 | $1.01 | $1.01 | |
CareSource
| Facility | $1.40 | $44,999.55 | $69,999.30 | |
Cigna
| Professional | $1.43 | $1.43 | $1.43 | |
United
| Professional | $0.78 | $1.04 | $3.41 |