| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.28 | $43.08 | $49.87 | |
CareSource
| Facility | $5.73 | $44.71 | $59.62 | |
CareSource
| Professional | $5.01 | $46.55 | $64.20 | |
Cigna
| Facility | $48.02 | $48.02 | $92.38 | |
Cigna
| Professional | $48.02 | $48.02 | $60.14 | |
United
| Professional | $37.39 | $42.97 | $76.18 |