| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.96 | $188.94 | $188.94 | |
Aetna
| Professional | $22.05 | $34.53 | $55.09 | |
CareSource
| Facility | $24.36 | $24.36 | $29.11 | |
CareSource
| Professional | $25.87 | $25.87 | $25.87 | |
Cigna
| Facility | $37.15 | $37.15 | $37.15 | |
Cigna
| Professional | $24.35 | $52.26 | $106.04 | |
United
| Professional | $35.35 | $51.84 | $86.50 |