| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.93 | $24.93 | $24.93 | |
Aetna
| Professional | $24.93 | $27.18 | $30.57 | |
CareSource
| Facility | $29.42 | $61.10 | $79.20 | |
CareSource
| Professional | $29.42 | $31.68 | $54.31 | |
Cigna
| Facility | $29.14 | $29.14 | $59.00 | |
Cigna
| Professional | $21.27 | $29.14 | $218.15 | |
United
| Professional | $16.03 | $21.32 | $33.53 |