| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.89 | $79.06 | $79.06 | |
Aetna
| Professional | $39.53 | $39.53 | $39.53 | |
CareSource
| Facility | $71.16 | $296.50 | $1,423.18 | |
CareSource
| Professional | $63.25 | $71.16 | $119,998.80 | |
Cigna
| Facility | $42.83 | $63.25 | $158.11 | |
Cigna
| Professional | $60.71 | $75.89 | $254.06 | |
United
| Professional | $22.14 | $26.36 | $71.16 |