| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.12 | $98.12 | $98.12 | |
Aetna
| Professional | $91.47 | $93.91 | $98.12 | |
CareSource
| Facility | $127.17 | $256.41 | $332.38 | |
CareSource
| Professional | $123.45 | $136.94 | $234.77 | |
Cigna
| Facility | $129.63 | $129.63 | $229.26 | |
Cigna
| Professional | $94.64 | $95.00 | $933.25 | |
United
| Professional | $85.94 | $97.88 | $158.63 |