| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.48 | $65.48 | $65.48 | |
Aetna
| Professional | $52.38 | $61.61 | $79.43 | |
CareSource
| Facility | $66.76 | $134.61 | $174.49 | |
CareSource
| Professional | $64.81 | $71.90 | $123.25 | |
Cigna
| Facility | $120.36 | $120.36 | $120.36 | |
Cigna
| Professional | $43.91 | $43.91 | $491.01 | |
United
| Professional | $41.25 | $52.44 | $82.89 |