| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $457.09 | $457.09 | |
Aetna
| Professional | $208.93 | $245.47 | $281.84 | |
CareSource
| Facility | $407.38 | $407.38 | $407.38 | |
CareSource
| Professional | $363.08 | $363.08 | $363.08 | |
Cigna
| Facility | $251.19 | $478.63 | $912.01 | |
Cigna
| Professional | $1,445.44 | $1,445.44 | $1,445.44 | |
United
| Facility | $181.97 | $181.97 | $181.97 | |
United
| Professional | $125.89 | $134.90 | $380.19 |