| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.86 | $140.03 | $168.03 | |
Aetna
| Professional | $84.02 | $91.86 | $91.86 | |
CareSource
| Facility | $151.22 | $630.11 | $3,024.54 | |
CareSource
| Professional | $134.41 | $151.22 | $119,998.80 | |
Cigna
| Facility | $91.01 | $134.41 | $336.02 | |
Cigna
| Professional | $128.44 | $160.55 | $539.94 | |
United
| Professional | $47.05 | $50.41 | $162.43 |