| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.48 | $77.48 | $77.48 | |
Aetna
| Professional | $70.44 | $77.48 | $86.40 | |
CareSource
| Facility | $62.33 | $70.83 | $132.21 | |
Cigna
| Facility | $91.34 | $91.34 | $91.34 | |
Cigna
| Professional | $60.00 | $77.45 | $150.83 | |
United
| Professional | $63.74 | $76.13 | $128.83 |