| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.03 | $72.03 | $83.89 | |
Aetna
| Professional | $65.48 | $79.59 | $97.89 | |
CareSource
| Facility | $68.23 | $80.63 | $148.86 | |
CareSource
| Professional | $58.55 | $108.08 | $108.08 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $78.90 | $114.18 | $224.02 | |
United
| Professional | $79.80 | $119.70 | $190.04 |