| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $177.24 | |
Aetna
| Professional | $15.73 | $28.97 | $36.40 | |
CareSource
| Facility | $26.14 | $32.67 | $44.84 | |
Cigna
| Facility | $1.15 | $3.55 | $74.43 | |
Cigna
| Professional | $12.00 | $27.38 | $138.77 | |
United
| Facility | $480.45 | $480.45 | $480.45 | |
United
| Professional | $8.69 | $14.72 | $31.02 |