| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.36 | $243.36 | $243.36 | |
Aetna
| Professional | $232.30 | $246.85 | $349.75 | |
CareSource
| Facility | $45.06 | $48.79 | $67.59 | |
CareSource
| Professional | $46.68 | $48.79 | $74.20 | |
Cigna
| Professional | $39.33 | $61.57 | $102.05 | |
United
| Professional | $15.81 | $24.46 | $76.20 |