| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.49 | $83.49 | $98.16 | |
Aetna
| Professional | $98.15 | $98.16 | $107.97 | |
CareSource
| Facility | $98.16 | $98.16 | $147.24 | |
CareSource
| Professional | $227.60 | $227.60 | $227.60 | |
Cigna
| Facility | $85.00 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $111.62 | |
United
| Professional | $98.16 | $103.33 | $125.34 |