| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.31 | $73.31 | $73.31 | |
Aetna
| Professional | $14.19 | $17.38 | $47.00 | |
CareSource
| Facility | $15.47 | $34.72 | $45.01 | |
CareSource
| Professional | $16.72 | $30.86 | $59.64 | |
Cigna
| Facility | $30.14 | $30.14 | $30.14 | |
Cigna
| Professional | $10.49 | $10.49 | $123.97 | |
United
| Professional | $12.06 | $13.90 | $26.88 |