| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.05 | $1.05 | $1.41 | |
CareSource
| Facility | $0.19 | $0.19 | $0.19 | |
CareSource
| Professional | $0.19 | $0.19 | $0.19 | |
Cigna
| Facility | $0.14 | $85.11 | $85.11 | |
Cigna
| Professional | $0.15 | $0.15 | $3.98 | |
United
| Professional | $0.15 | $0.15 | $0.23 |