| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.21 | $89.21 | $183.03 | |
Aetna
| Professional | $181.21 | $181.22 | $201.33 | |
CareSource
| Facility | $181.22 | $271.83 | $271.83 | |
Cigna
| Facility | $170.96 | $177.87 | $181.22 | |
Cigna
| Professional | $181.22 | $181.22 | $335.06 | |
United
| Professional | $175.78 | $181.22 | $255.87 |