| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $234.42 | $1,584.89 | |
Aetna
| Professional | $85.11 | $190.55 | $275.42 | |
CareSource
| Facility | $104.71 | $104.71 | $125.89 | |
CareSource
| Professional | $112.20 | $112.20 | $112.20 | |
Cigna
| Facility | $34.67 | $169.82 | $169.82 | |
Cigna
| Professional | $95.50 | $245.47 | $1,202.26 | |
United
| Facility | $691.83 | $691.83 | $1,995.26 | |
United
| Professional | $87.10 | $190.55 | $436.52 |