| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.43 | $78.43 | $79.72 | |
Aetna
| Professional | $78.93 | $79.22 | $87.69 | |
CareSource
| Facility | $78.93 | $118.40 | $118.40 | |
Cigna
| Facility | $74.47 | $78.93 | $81.59 | |
Cigna
| Professional | $78.93 | $78.93 | $151.86 | |
United
| Professional | $78.93 | $78.93 | $96.00 |