| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.48 | $0.48 | $0.48 | |
Aetna
| Professional | $0.48 | $0.48 | $0.48 | |
CareSource
| Facility | $3.90 | $4.03 | $7.05 | |
CareSource
| Professional | $4.03 | $4.03 | $4.03 | |
Cigna
| Facility | $3.85 | $3.85 | $5.22 | |
Cigna
| Professional | $3.85 | $3.85 | $21.83 | |
United
| Professional | $2.94 | $4.53 | $4.53 |