| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.11 | $21.51 | $25.82 | |
Aetna
| Professional | $12.91 | $14.11 | $14.63 | |
CareSource
| Facility | $23.23 | $96.81 | $464.68 | |
CareSource
| Professional | $20.65 | $23.23 | $119,998.80 | |
Cigna
| Facility | $13.99 | $20.65 | $51.64 | |
Cigna
| Professional | $82.95 | $82.95 | $82.95 | |
United
| Professional | $7.23 | $8.61 | $24.95 |