| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $79.43 | $79.43 | |
Aetna
| Professional | $34.67 | $41.69 | $60.26 | |
CareSource
| Facility | $70.79 | $70.79 | $70.79 | |
CareSource
| Professional | $63.10 | $63.10 | $63.10 | |
Cigna
| Facility | $43.65 | $85.11 | $158.49 | |
Cigna
| Professional | $60.26 | $251.19 | $251.19 | |
United
| Facility | $31.62 | $31.62 | $31.62 | |
United
| Professional | $22.39 | $23.99 | $52.48 |