| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.25 | $92.02 | $404.07 | |
Aetna
| Professional | $86.37 | $87.25 | $99.33 | |
CareSource
| Facility | $86.38 | $129.57 | $129.57 | |
Cigna
| Facility | $81.48 | $86.38 | $397.80 | |
Cigna
| Professional | $86.38 | $86.38 | $546.00 | |
United
| Professional | $86.38 | $86.38 | $468.47 |