| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.27 | $92.89 | $1,400.00 | |
Aetna
| Professional | $84.44 | $89.37 | $98.06 | |
CareSource
| Facility | $94.78 | $106.52 | $116.06 | |
CareSource
| Professional | $103.16 | $103.16 | $103.16 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $79.23 | $115.75 | $265.14 | |
United
| Facility | $460.00 | $460.00 | $460.00 | |
United
| Professional | $80.00 | $125.85 | $176.45 |