| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.19 | $18.57 | $22.29 | |
Aetna
| Professional | $11.15 | $12.19 | $12.63 | |
CareSource
| Facility | $20.05 | $83.59 | $401.22 | |
CareSource
| Professional | $17.82 | $20.05 | $119,998.80 | |
Cigna
| Facility | $12.08 | $17.82 | $44.58 | |
Cigna
| Professional | $71.63 | $71.63 | $71.63 | |
United
| Professional | $6.24 | $7.43 | $21.55 |