| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.44 | $155.44 | $158.56 | |
Aetna
| Professional | $154.83 | $158.56 | $158.56 | |
CareSource
| Facility | $37.36 | $38.58 | $67.52 | |
Cigna
| Facility | $158.56 | $158.56 | $158.56 | |
Cigna
| Professional | $158.56 | $158.56 | $231.36 | |
United
| Professional | $155.44 | $155.44 | $162.72 |