| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.26 | $36.26 | $55.86 | |
Aetna
| Professional | $34.46 | $46.76 | $61.44 | |
CareSource
| Facility | $38.95 | $38.95 | $47.99 | |
CareSource
| Professional | $42.66 | $42.66 | $42.66 | |
Cigna
| Facility | $59.40 | $59.40 | $59.40 | |
Cigna
| Professional | $34.90 | $55.94 | $171.50 | |
United
| Professional | $35.95 | $51.97 | $79.98 |