| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.79 | $65.48 | $79.04 | |
CareSource
| Facility | $99.30 | $108.32 | $132.35 | |
CareSource
| Professional | $90.27 | $99.30 | $209.31 | |
Cigna
| Facility | $102.98 | $102.98 | $102.98 | |
Cigna
| Professional | $36.94 | $36.94 | $36.94 | |
United
| Professional | $38.39 | $45.03 | $75.39 |