| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.63 | $73.65 | $90.93 | |
CareSource
| Facility | $112.19 | $124.61 | $146.34 | |
CareSource
| Professional | $103.84 | $122.77 | $240.76 | |
Cigna
| Facility | $119.89 | $119.89 | $119.89 | |
Cigna
| Professional | $44.38 | $44.38 | $44.38 | |
United
| Professional | $46.13 | $51.81 | $86.75 |