| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.41 | $51.92 | $79.70 | |
Aetna
| Professional | $78.92 | $79.70 | $87.68 | |
CareSource
| Facility | $78.92 | $118.38 | $118.38 | |
Cigna
| Facility | $74.45 | $78.92 | $103.70 | |
Cigna
| Professional | $78.92 | $78.92 | $104.98 | |
United
| Professional | $78.92 | $87.85 | $121.95 |