| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.93 | $33.71 | $34.64 | |
CareSource
| Facility | $3.64 | $30.26 | $42.18 | |
CareSource
| Professional | $3.68 | $29.42 | $43.43 | |
Cigna
| Facility | $36.44 | $36.44 | $65.28 | |
Cigna
| Professional | $36.44 | $36.44 | $43.43 | |
United
| Professional | $25.29 | $31.64 | $51.53 |