| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $162.18 | $162.18 | |
Aetna
| Professional | $74.13 | $85.11 | $100.00 | |
CareSource
| Facility | $144.54 | $144.54 | $144.54 | |
CareSource
| Professional | $128.82 | $128.82 | $128.82 | |
Cigna
| Facility | $89.13 | $169.82 | $323.59 | |
Cigna
| Professional | $512.86 | $512.86 | $512.86 | |
United
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Professional | $44.67 | $47.86 | $134.90 |