| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.14 | $60.14 | $60.14 | |
Aetna
| Professional | $60.14 | $81.29 | $135.66 | |
CareSource
| Facility | $85.60 | $121.71 | $141.24 | |
CareSource
| Professional | $121.71 | $198.47 | $198.47 | |
Cigna
| Facility | $108.25 | $108.25 | $108.25 | |
Cigna
| Professional | $73.14 | $73.14 | $385.12 | |
United
| Professional | $42.83 | $94.03 | $180.22 |