| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.37 | $0.37 | $0.37 | |
Aetna
| Professional | $0.37 | $0.37 | $0.37 | |
CareSource
| Facility | $0.59 | $44,999.55 | $69,999.30 | |
Cigna
| Facility | $0.37 | $0.37 | $0.43 | |
Cigna
| Professional | $0.43 | $0.43 | $1.18 | |
United
| Professional | $0.33 | $0.44 | $0.99 |