| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.09 | $43.09 | $49.65 | |
Aetna
| Professional | $39.71 | $47.59 | $59.63 | |
CareSource
| Facility | $39.72 | $45.15 | $84.28 | |
CareSource
| Professional | $55.97 | $55.97 | $55.97 | |
Cigna
| Facility | $66.28 | $66.28 | $66.28 | |
Cigna
| Professional | $48.36 | $60.75 | $230.73 | |
United
| Professional | $48.82 | $75.20 | $103.83 |