| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $77.62 | $95.50 | |
CareSource
| Facility | $109.65 | $109.65 | $109.65 | |
CareSource
| Professional | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $38.90 | $38.90 | $446.68 | |
United
| Professional | $37.15 | $53.70 | $69.18 |