| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.27 | $92.03 | $1,400.00 | |
Aetna
| Professional | $83.58 | $89.37 | $96.61 | |
CareSource
| Facility | $88.77 | $106.52 | $116.06 | |
CareSource
| Professional | $103.16 | $103.16 | $103.16 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $78.29 | $114.71 | $252.98 | |
United
| Professional | $79.26 | $118.96 | $163.13 |