| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.36 | $121.49 | $130.93 | |
CareSource
| Facility | $12.98 | $98.46 | $159.66 | |
CareSource
| Professional | $12.98 | $97.30 | $164.37 | |
Cigna
| Facility | $83.15 | $83.15 | $238.46 | |
Cigna
| Professional | $83.14 | $83.15 | $999.48 | |
United
| Professional | $84.39 | $110.74 | $180.52 |