| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.30 | $437.10 | $437.10 | |
Aetna
| Professional | $4.57 | $5.20 | $5.57 | |
CareSource
| Facility | $5.54 | $5.54 | $6.60 | |
CareSource
| Professional | $5.87 | $5.87 | $5.87 | |
Cigna
| Facility | $7.94 | $7.94 | $7.94 | |
Cigna
| Professional | $85.10 | $140.00 | $426.01 | |
United
| Professional | $3.79 | $14.91 | $28.20 |