| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.54 | $58.75 | $70.50 | |
Aetna
| Professional | $35.25 | $38.54 | $39.95 | |
CareSource
| Facility | $51.70 | $70.50 | $82.25 | |
CareSource
| Professional | $56.40 | $56.40 | $63.45 | |
Cigna
| Facility | $38.19 | $116.58 | $225.86 | |
Cigna
| Professional | $226.54 | $226.54 | $226.54 | |
United
| Professional | $19.73 | $23.50 | $68.15 |