| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.00 | $66.00 | $66.00 | |
CareSource
| Facility | $39.90 | $39.90 | $59.85 | |
CareSource
| Professional | $39.90 | $39.90 | $49.88 | |
Cigna
| Professional | $46.86 | $46.86 | $46.86 | |
United
| Professional | $32.81 | $36.45 | $55.66 |