| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.16 | $69.08 | $96.97 | |
CareSource
| Facility | $101.94 | $126.52 | $142.33 | |
CareSource
| Professional | $105.43 | $115.97 | $244.45 | |
Cigna
| Facility | $114.38 | $114.38 | $114.38 | |
Cigna
| Professional | $42.55 | $42.55 | $42.55 | |
United
| Professional | $44.09 | $52.60 | $114.76 |