| 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 | $99.88 | |
CareSource
| Facility | $68.23 | $77.54 | $144.72 | |
CareSource
| Professional | $108.08 | $108.08 | $108.08 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $81.81 | $103.03 | $394.47 | |
United
| Professional | $81.84 | $133.00 | $173.69 |