| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.79 | $40.79 | $48.00 | |
Aetna
| Professional | $39.84 | $40.79 | $40.79 | |
CareSource
| Facility | $8.09 | $8.35 | $14.61 | |
Cigna
| Facility | $42.40 | $42.40 | $85.00 | |
Cigna
| Professional | $42.40 | $42.40 | $53.76 | |
United
| Professional | $48.50 | $50.00 | $50.00 |