| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.06 | $73.59 | $92.09 | |
Aetna
| Professional | $75.29 | $93.35 | $189.17 | |
CareSource
| Facility | $97.13 | $125.41 | $165.54 | |
CareSource
| Professional | $206.68 | $232.63 | $232.63 | |
Cigna
| Facility | $122.08 | $122.08 | $122.08 | |
Cigna
| Professional | $106.05 | $153.40 | $502.05 | |
United
| Professional | $66.00 | $96.66 | $150.94 |