| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.04 | $132.04 | $133.36 | |
Aetna
| Professional | $131.15 | $131.16 | $180.12 | |
CareSource
| Facility | $131.16 | $196.74 | $196.74 | |
Cigna
| Facility | $123.73 | $131.16 | $333.63 | |
Cigna
| Professional | $131.16 | $131.16 | $178.58 | |
United
| Professional | $131.16 | $146.01 | $392.50 |