| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $102.33 | $102.33 | |
Aetna
| Professional | $46.77 | $54.95 | $79.43 | |
CareSource
| Facility | $93.33 | $93.33 | $93.33 | |
CareSource
| Professional | $83.18 | $83.18 | $83.18 | |
Cigna
| Facility | $57.54 | $117.49 | $204.17 | |
Cigna
| Professional | $77.62 | $331.13 | $331.13 | |
United
| Facility | $40.74 | $40.74 | $40.74 | |
United
| Professional | $25.12 | $29.51 | $81.28 |