| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.55 | $130.69 | $130.75 | |
Aetna
| Professional | $31.87 | $32.54 | $44.24 | |
CareSource
| Facility | $32.22 | $48.33 | $48.33 | |
Cigna
| Facility | $30.39 | $32.22 | $85.00 | |
Cigna
| Professional | $32.22 | $32.22 | $85.04 | |
United
| Professional | $32.22 | $32.22 | $66.95 |