| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.88 | $48.83 | $68.56 | |
CareSource
| Facility | $73.69 | $93.95 | $105.69 | |
CareSource
| Professional | $78.29 | $92.18 | $181.52 | |
Cigna
| Facility | $90.02 | $90.02 | $90.02 | |
Cigna
| Professional | $28.19 | $28.19 | $28.19 | |
United
| Professional | $30.42 | $39.06 | $65.40 |