| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.58 | $82.52 | $90.14 | |
Aetna
| Professional | $78.80 | $81.98 | $108.21 | |
CareSource
| Facility | $78.80 | $118.20 | $118.20 | |
Cigna
| Facility | $74.33 | $78.79 | $116.08 | |
Cigna
| Professional | $78.79 | $78.79 | $150.76 | |
United
| Professional | $78.80 | $78.80 | $136.57 |