| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.12 | $53.41 | $61.49 | |
CareSource
| Facility | $79.16 | $84.28 | $107.94 | |
CareSource
| Professional | $70.23 | $86.83 | $162.82 | |
Cigna
| Facility | $84.79 | $84.79 | $84.79 | |
Cigna
| Professional | $30.85 | $30.85 | $30.85 | |
United
| Professional | $32.07 | $35.03 | $112.37 |