| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.91 | $115.76 | $186.82 | |
Aetna
| Professional | $81.91 | $115.76 | $182.95 | |
CareSource
| Facility | $87.54 | $98.72 | $107.57 | |
CareSource
| Professional | $71.89 | $95.62 | $95.62 | |
Cigna
| Facility | $140.37 | $140.37 | $140.37 | |
Cigna
| Professional | $85.00 | $135.76 | $344.47 | |
United
| Professional | $89.33 | $135.97 | $192.65 |