| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.40 | $49.97 | $55.50 | |
CareSource
| Facility | $6.01 | $44.88 | $66.47 | |
CareSource
| Professional | $5.82 | $48.33 | $64.47 | |
Cigna
| Facility | $54.52 | $54.52 | $96.80 | |
Cigna
| Professional | $54.52 | $54.52 | $65.30 | |
United
| Professional | $37.54 | $49.85 | $76.48 |