| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.40 | $42.75 | $57.47 | |
CareSource
| Facility | $66.23 | $78.77 | $88.61 | |
CareSource
| Professional | $65.64 | $72.20 | $152.19 | |
Cigna
| Facility | $64.87 | $64.87 | $64.87 | |
Cigna
| Professional | $23.63 | $23.63 | $23.63 | |
United
| Professional | $26.27 | $32.74 | $54.81 |