| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.78 | $175.78 | $175.78 | |
Aetna
| Professional | $144.97 | $168.23 | $188.61 | |
CareSource
| Facility | $221.16 | $425.31 | $595.44 | |
CareSource
| Professional | $205.03 | $238.18 | $351.48 | |
Cigna
| Facility | $181.86 | $181.86 | $380.83 | |
Cigna
| Professional | $132.76 | $181.86 | $1,596.19 | |
United
| Facility | $143.90 | $143.90 | $143.90 | |
United
| Professional | $121.70 | $169.75 | $282.91 |