| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.37 | $23.37 | $23.37 | |
Aetna
| Professional | $23.16 | $23.37 | $25.13 | |
CareSource
| Facility | $30.98 | $64.34 | $83.41 | |
CareSource
| Professional | $30.98 | $33.36 | $57.19 | |
Cigna
| Facility | $29.78 | $29.78 | $62.27 | |
Cigna
| Professional | $21.74 | $29.78 | $261.00 | |
United
| Professional | $23.77 | $31.84 | $39.61 |