| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.39 | $37.22 | $1,400.00 | |
Aetna
| Professional | $22.18 | $29.09 | $51.34 | |
CareSource
| Facility | $26.03 | $42.04 | $45.87 | |
CareSource
| Professional | $18.32 | $27.91 | $27.91 | |
Cigna
| Facility | $41.73 | $41.73 | $41.73 | |
Cigna
| Professional | $26.54 | $39.01 | $110.18 | |
United
| Professional | $25.42 | $45.99 | $64.22 |