| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.08 | $115.65 | $115.65 | |
Aetna
| Professional | $70.06 | $76.44 | $164.01 | |
CareSource
| Facility | $69.16 | $89.06 | $117.38 | |
CareSource
| Professional | $71.14 | $106.71 | $146.55 | |
Cigna
| Facility | $86.12 | $86.12 | $86.12 | |
Cigna
| Professional | $70.33 | $81.05 | $158.81 | |
United
| Professional | $61.71 | $87.38 | $125.40 |