| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.31 | $110.25 | $132.30 | |
Aetna
| Professional | $66.15 | $72.31 | $74.97 | |
CareSource
| Facility | $97.02 | $132.30 | $154.35 | |
CareSource
| Professional | $105.84 | $105.84 | $119.07 | |
Cigna
| Facility | $71.66 | $167.62 | $264.58 | |
Cigna
| Professional | $425.12 | $425.12 | $425.12 | |
United
| Professional | $37.04 | $44.10 | $141.12 |