| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.20 | $84.30 | |
Aetna
| Professional | $0.02 | $0.02 | $0.10 | |
CareSource
| Facility | $0.02 | $0.02 | $0.02 | |
CareSource
| Professional | $0.02 | $0.02 | $0.42 | |
Cigna
| Facility | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $0.02 | $0.02 | $0.14 | |
United
| Professional | $3.09 | $4.63 | $6.39 |