| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.60 | $197.65 | $197.65 | |
Aetna
| Professional | $60.00 | $60.00 | $98.04 | |
CareSource
| Facility | $60.00 | $90.00 | $90.00 | |
Cigna
| Facility | $56.61 | $60.00 | $85.89 | |
Cigna
| Professional | $60.00 | $60.00 | $114.07 | |
United
| Professional | $60.00 | $60.00 | $100.83 |