| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.39 | $98.39 | $98.39 | |
Aetna
| Professional | $91.72 | $94.17 | $98.39 | |
CareSource
| Facility | $127.50 | $257.11 | $333.29 | |
CareSource
| Professional | $123.79 | $137.31 | $235.38 | |
Cigna
| Facility | $112.22 | $112.22 | $229.86 | |
Cigna
| Professional | $81.92 | $81.92 | $936.00 | |
United
| Professional | $72.91 | $95.02 | $158.36 |