| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.43 | $173.34 | $1,700.00 | |
Aetna
| Professional | $130.43 | $160.88 | $190.25 | |
CareSource
| Facility | $134.99 | $161.99 | $176.49 | |
CareSource
| Professional | $156.88 | $156.88 | $156.88 | |
Cigna
| Facility | $232.24 | $232.24 | $232.24 | |
Cigna
| Professional | $139.19 | $206.06 | $510.83 | |
United
| Professional | $148.50 | $220.90 | $292.27 |