| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.53 | $10.53 | $15.17 | |
Aetna
| Professional | $14.89 | $15.17 | $15.17 | |
CareSource
| Facility | $37.89 | $44,999.55 | $59,999.40 | |
Cigna
| Facility | $16.64 | $16.64 | $85.00 | |
Cigna
| Professional | $16.64 | $16.64 | $21.60 | |
United
| Professional | $15.32 | $23.60 | $23.60 |