| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.13 | $138.13 | $138.13 | |
Aetna
| Professional | $134.88 | $138.13 | $138.13 | |
CareSource
| Facility | $91.73 | $94.72 | $165.76 | |
Cigna
| Facility | $122.66 | $137.80 | $137.80 | |
Cigna
| Professional | $137.80 | $137.80 | $512.94 | |
United
| Professional | $322.97 | $332.96 | $332.96 |