| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.23 | $68.23 | $68.23 | |
Aetna
| Professional | $65.22 | $75.43 | $87.50 | |
CareSource
| Facility | $68.20 | $73.20 | $79.77 | |
CareSource
| Professional | $36.25 | $67.11 | $70.91 | |
Cigna
| Facility | $81.28 | $81.28 | $81.28 | |
Cigna
| Professional | $65.02 | $82.72 | $163.37 | |
United
| Professional | $57.51 | $84.83 | $158.54 |