| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.97 | $2.97 | $2.97 | |
Aetna
| Professional | $2.97 | $3.42 | $4.30 | |
CareSource
| Facility | $3.24 | $7.28 | $9.43 | |
CareSource
| Professional | $3.50 | $6.47 | $12.48 | |
Cigna
| Facility | $6.31 | $6.31 | $6.31 | |
Cigna
| Professional | $2.20 | $2.20 | $25.98 | |
United
| Professional | $2.45 | $2.93 | $5.39 |