| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.66 | $138.66 | $1,400.00 | |
Aetna
| Professional | $63.50 | $122.21 | $191.20 | |
CareSource
| Facility | $75.56 | $83.68 | $91.17 | |
CareSource
| Professional | $81.04 | $81.04 | $81.04 | |
Cigna
| Facility | $121.18 | $121.18 | $121.18 | |
Cigna
| Professional | $67.53 | $145.72 | $333.64 | |
United
| Professional | $106.66 | $148.74 | $206.66 |