| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.78 | $102.75 | $118.80 | |
CareSource
| Facility | $11.11 | $14.16 | $144.29 | |
CareSource
| Professional | $11.11 | $15.25 | $155.38 | |
Cigna
| Facility | $64.17 | $64.17 | $220.35 | |
Cigna
| Professional | $13.43 | $64.17 | $139.79 | |
United
| Professional | $61.98 | $89.19 | $181.70 |