| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.06 | $62.72 | $122.74 | |
CareSource
| Facility | $45.56 | $49.15 | $53.55 | |
CareSource
| Professional | $47.60 | $97.32 | $115.01 | |
Cigna
| Facility | $69.48 | $69.48 | $69.48 | |
Cigna
| Professional | $40.45 | $75.44 | $143.68 | |
United
| Professional | $53.50 | $76.98 | $126.46 |