| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.39 | $79.39 | $80.18 | |
Aetna
| Professional | $79.26 | $79.26 | $80.18 | |
CareSource
| Facility | $79.26 | $118.89 | $118.89 | |
Cigna
| Facility | $74.77 | $77.75 | $79.26 | |
Cigna
| Professional | $79.26 | $79.26 | $145.76 | |
United
| Professional | $77.98 | $79.26 | $91.75 |