| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.70 | $77.16 | $94.42 | |
CareSource
| Facility | $113.96 | $118.71 | $155.94 | |
CareSource
| Professional | $94.97 | $109.04 | $220.20 | |
Cigna
| Facility | $119.50 | $119.50 | $119.50 | |
Cigna
| Professional | $43.62 | $43.62 | $43.62 | |
United
| Professional | $44.42 | $47.38 | $79.31 |