| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.51 | $36.90 | $43.01 | |
CareSource
| Facility | $4.15 | $32.18 | $42.95 | |
CareSource
| Professional | $3.76 | $32.19 | $46.26 | |
Cigna
| Facility | $36.06 | $36.06 | $63.47 | |
Cigna
| Professional | $36.06 | $36.06 | $266.02 | |
United
| Facility | $4.01 | $27.77 | $43.96 | |
United
| Professional | $25.45 | $32.17 | $51.09 |