| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.13 | $30.44 | $31.70 | |
CareSource
| Facility | $3.29 | $29.22 | $38.61 | |
CareSource
| Professional | $3.44 | $30.09 | $39.72 | |
Cigna
| Facility | $33.33 | $33.33 | $58.96 | |
Cigna
| Professional | $33.33 | $35.50 | $43.75 | |
United
| Professional | $24.05 | $28.96 | $47.15 |