| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.82 | $99.82 | $100.97 | |
Aetna
| Professional | $99.97 | $99.97 | $100.97 | |
CareSource
| Facility | $99.97 | $149.96 | $149.96 | |
Cigna
| Facility | $94.31 | $99.81 | $99.97 | |
Cigna
| Professional | $99.97 | $99.97 | $187.46 | |
United
| Professional | $99.81 | $99.97 | $117.42 |