| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.18 | $108.18 | $118.99 | |
Aetna
| Professional | $82.70 | $106.19 | $229.91 | |
CareSource
| Facility | $106.53 | $139.28 | $186.43 | |
CareSource
| Professional | $87.96 | $111.86 | $123.80 | |
Cigna
| Facility | $95.00 | $105.18 | $126.54 | |
Cigna
| Professional | $87.69 | $121.62 | $222.75 | |
United
| Facility | $86.94 | $86.94 | $86.94 | |
United
| Professional | $67.81 | $98.89 | $151.26 |