| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.10 | $0.13 | $0.13 | |
Aetna
| Professional | $0.10 | $0.12 | $0.13 | |
BCBS
| Facility | $0.10 | $0.10 | $0.10 | |
BCBS
| Professional | $0.10 | $0.10 | $0.10 | |
CareSource
| Facility | $0.13 | $2.17 | $2.50 | |
CareSource
| Professional | $1.67 | $1.79 | $3.87 | |
Cigna
| Facility | $0.04 | $0.13 | $0.13 | |
Cigna
| Professional | $0.13 | $0.13 | $0.13 | |
United
| Professional | $0.13 | $0.13 | $0.14 |