| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.65 | $108.64 | $136.87 | |
Aetna
| Professional | $108.64 | $123.89 | $161.47 | |
CareSource
| Facility | $138.94 | $179.41 | $236.82 | |
CareSource
| Professional | $295.67 | $332.78 | $332.78 | |
Cigna
| Facility | $174.49 | $174.49 | $174.49 | |
Cigna
| Professional | $151.84 | $229.58 | $715.63 | |
United
| Professional | $85.27 | $124.62 | $229.65 |