| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.18 | $82.18 | $82.18 | |
Aetna
| Professional | $75.22 | $82.18 | $93.94 | |
CareSource
| Facility | $86.41 | $94.49 | $102.94 | |
CareSource
| Professional | $91.50 | $91.50 | $91.50 | |
United
| Professional | $64.20 | $96.65 | $143.76 |