| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $65.25 | $70.00 | $81.37 | |
CareSource
| Facility | $100.63 | $182.91 | $237.11 | |
CareSource
| Professional | $88.07 | $108.37 | $185.78 | |
Cigna
| Facility | $81.70 | $86.88 | $181.43 | |
Cigna
| Professional | $63.42 | $86.88 | $744.02 | |
United
| Professional | $56.65 | $72.42 | $117.69 |