| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.00 | $98.42 | $107.32 | |
CareSource
| Facility | $10.63 | $91.55 | $135.43 | |
CareSource
| Professional | $11.45 | $85.91 | $131.44 | |
Cigna
| Facility | $70.53 | $70.53 | $197.25 | |
Cigna
| Professional | $70.53 | $70.53 | $826.73 | |
United
| Professional | $71.58 | $93.77 | $153.12 |